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Published on: February 26, 2019
Endogenous glucose production after stomach resection
H P Sauerwein1, R P Michels, V Cejka
1Department of Internal Medicine, Academic Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
Abstract:
Endogenous glucose production was measured in eight patients after stomach resection to determine glucose requirement after elective surgery in five patients during infusion of 2.1 - 2.9 g glucose.kg/day (low glucose) and in three patients during infusion of 6.2 - 6.9 g glucose.kg/day (high glucose). Endogenous glucose production was defined as the difference between total glucose turnover measured by 2-3H-glucose and the glucose infusion rate. Endogenous glucose production was the same in both groups, respectively 0.010 +/- 0.002 and 0.009 +/- 0.002 mmol kg/min. It was concluded that a daily quantity of glucose equal to the endogenous production of 180 g. 70 kg/day should be the minimum given after stomach resection.
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