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[Postoperative amino acid metabolism].

P Jürgens

    Infusionstherapie Und Klinische Ernahrung
    |April 1, 1982
    PubMed
    Summary

    Adequate nutrition, particularly L-amino acid solutions, is crucial for severely ill patients. Specific amino acid (a.a.) formulations are necessary for different metabolic conditions and clinical needs in total parenteral nutrition (t.p.n.).

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    New aspects on etiology, biochemistry, and therapy of portal systemic encephalopathy: a critical survey.

    Nutrition (Burbank, Los Angeles County, Calif.)·1997

    Area of Science:

    • Biochemistry
    • Clinical Nutrition
    • Metabolic Research

    Context:

    • Anabolism persists in visceral organs during stress and early post-stress periods.
    • Fasting leads to catabolism of vital visceral organ enzyme structures.
    • Adequate nutrition is obligatory for severely ill patients.

    Purpose:

    • To highlight the necessity of L-amino acid solutions for parenteral protein nutrition.
    • To define criteria for suitable L-amino acid solutions, including essential amino acids (a.a.) and physiologic regulation.
    • To outline distinct amino acid (a.a.) patterns required for various metabolic conditions and clinical applications in total parenteral nutrition (t.p.n.).

    Summary:

    • Parenteral protein nutrition must utilize L-amino acid (a.a.) solutions containing proportionate essential a.a. within physiologic ranges.
    • Different metabolic states necessitate specific amino acid (a.a.) patterns.
    • Three primary L-a.a. solution compositions are required for adult total parenteral nutrition (t.p.n.): standard, high E/T-ratio for uremic patients/infants, and high branched-chain a.a. for portosystemic encephalopathy.

    Impact:

    • Emphasizes the critical role of tailored L-amino acid (a.a.) formulations in clinical nutrition.
    • Underscores the importance of individualized amino acid (a.a.) therapy for optimizing patient outcomes in critical care.
    • Discusses the metabolic significance and clinical utility of specialized amino acid (a.a.) solutions.

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