Influence of preoperative nutritional state on inflammatory response after surgery
To investigate whether the preoperative nutritional state influences the postoperative inflammatory reaction and immunity, we grouped patients whose postoperative nutritional support was performed by total parenteral nutrition into the good nutritional state group (group I) and the latent protein-ca...
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| Veröffentlicht in: | Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 1999-11, Vol.15 (11), p.834-841 |
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| creator | Nakamura, Kazuo Moriyama, Yukinori Kariyazono, Hiroko Hamada, Nobuo Toyohira, Hitoshi Taira, Akira Yamada, Katsushi |
| description | To investigate whether the preoperative nutritional state influences the postoperative inflammatory reaction and immunity, we grouped patients whose postoperative nutritional support was performed by total parenteral nutrition into the good nutritional state group (group I) and the latent protein-calorie malnutrition suggested group (group II) based on the preoperative rapid turnover protein (RTP). Nutritional markers markedly decreased after surgery and recovered almost to preoperative levels on postoperative day (POD-) 7 in groups I and II. Nutritional markers on POD-7 in group II were significantly lower than those in group I (RTP,
P < 0.001; albumin,
P < 0.05). After surgery, levels of interleukin-6 (IL-6), C-reactive protein (CRP), and polymorphonuclear (PMN-) elastase were higher in group II than in group I (
P < 0.01). In groups I and II, IL-6 and interleukin- 8 (IL-8) rose before the remarkable elevation of CRP and PMN-elastase. In group I, all the nutritional markers showed a negative correlation with CRP and PMN-elastase. Further, a positive correlation was observed between IL-6 and CRP and between IL-8 and PMN-elastase. In conclusion, evaluation of the preoperative nutritional state appears to be very important for the prediction of postoperative complication. |
| doi_str_mv | 10.1016/S0899-9007(99)00176-8 |
| format | Article |
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P < 0.001; albumin,
P < 0.05). After surgery, levels of interleukin-6 (IL-6), C-reactive protein (CRP), and polymorphonuclear (PMN-) elastase were higher in group II than in group I (
P < 0.01). In groups I and II, IL-6 and interleukin- 8 (IL-8) rose before the remarkable elevation of CRP and PMN-elastase. In group I, all the nutritional markers showed a negative correlation with CRP and PMN-elastase. Further, a positive correlation was observed between IL-6 and CRP and between IL-8 and PMN-elastase. In conclusion, evaluation of the preoperative nutritional state appears to be very important for the prediction of postoperative complication.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/S0899-9007(99)00176-8</identifier><identifier>PMID: 10575657</identifier><identifier>CODEN: NUTRER</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Biological and medical sciences ; Blood Proteins - analysis ; C-reactive protein ; C-Reactive Protein - metabolism ; Female ; Humans ; Immunity ; Inflammation - complications ; interleukin-6 ; Interleukin-6 - blood ; interleukin-8 ; Interleukin-8 - blood ; Leukocyte Elastase - blood ; Male ; Medical sciences ; Metabolic diseases ; Middle Aged ; Nutritional Status ; Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...) ; Parenteral Nutrition, Total ; polymorphonuclear elastase ; Postoperative Complications ; Prealbumin - analysis ; Preoperative Care ; Protein-Energy Malnutrition - complications ; rapid turnover protein ; Retinol-Binding Proteins - analysis ; Serum Albumin - analysis ; Transferrin - analysis</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 1999-11, Vol.15 (11), p.834-841</ispartof><rights>1999 Elsevier Science Inc.</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-aef88dc57aba528280dac783e9717a7624e247b58103420a03708e170c88f2593</citedby><cites>FETCH-LOGICAL-c456t-aef88dc57aba528280dac783e9717a7624e247b58103420a03708e170c88f2593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0899-9007(99)00176-8$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1217550$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10575657$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakamura, Kazuo</creatorcontrib><creatorcontrib>Moriyama, Yukinori</creatorcontrib><creatorcontrib>Kariyazono, Hiroko</creatorcontrib><creatorcontrib>Hamada, Nobuo</creatorcontrib><creatorcontrib>Toyohira, Hitoshi</creatorcontrib><creatorcontrib>Taira, Akira</creatorcontrib><creatorcontrib>Yamada, Katsushi</creatorcontrib><title>Influence of preoperative nutritional state on inflammatory response after surgery</title><title>Nutrition (Burbank, Los Angeles County, Calif.)</title><addtitle>Nutrition</addtitle><description>To investigate whether the preoperative nutritional state influences the postoperative inflammatory reaction and immunity, we grouped patients whose postoperative nutritional support was performed by total parenteral nutrition into the good nutritional state group (group I) and the latent protein-calorie malnutrition suggested group (group II) based on the preoperative rapid turnover protein (RTP). Nutritional markers markedly decreased after surgery and recovered almost to preoperative levels on postoperative day (POD-) 7 in groups I and II. Nutritional markers on POD-7 in group II were significantly lower than those in group I (RTP,
P < 0.001; albumin,
P < 0.05). After surgery, levels of interleukin-6 (IL-6), C-reactive protein (CRP), and polymorphonuclear (PMN-) elastase were higher in group II than in group I (
P < 0.01). In groups I and II, IL-6 and interleukin- 8 (IL-8) rose before the remarkable elevation of CRP and PMN-elastase. In group I, all the nutritional markers showed a negative correlation with CRP and PMN-elastase. Further, a positive correlation was observed between IL-6 and CRP and between IL-8 and PMN-elastase. In conclusion, evaluation of the preoperative nutritional state appears to be very important for the prediction of postoperative complication.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Blood Proteins - analysis</subject><subject>C-reactive protein</subject><subject>C-Reactive Protein - metabolism</subject><subject>Female</subject><subject>Humans</subject><subject>Immunity</subject><subject>Inflammation - complications</subject><subject>interleukin-6</subject><subject>Interleukin-6 - blood</subject><subject>interleukin-8</subject><subject>Interleukin-8 - blood</subject><subject>Leukocyte Elastase - blood</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>Nutritional Status</subject><subject>Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)</subject><subject>Parenteral Nutrition, Total</subject><subject>polymorphonuclear elastase</subject><subject>Postoperative Complications</subject><subject>Prealbumin - analysis</subject><subject>Preoperative Care</subject><subject>Protein-Energy Malnutrition - complications</subject><subject>rapid turnover protein</subject><subject>Retinol-Binding Proteins - analysis</subject><subject>Serum Albumin - analysis</subject><subject>Transferrin - analysis</subject><issn>0899-9007</issn><issn>1873-1244</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0E1v1DAQgGELUdGl8BNAOSBED4GxE8f2CaEK2kqVkPpxtmadCTJK4mA7lfbf4-2ugBunuTwztl7G3nD4yIF3n-5AG1MbAPXBmHMArrpaP2MbrlVTc9G2z9nmDzllL1P6CUWZzrxgpxykkp1UG3Z7PQ_jSrOjKgzVEiksFDH7R6rmNUeffZhxrFLGXMRc-cJxmjCHuKsipSXMiSocMsUqrfEHxd0rdjLgmOj1cZ6xh29f7y-u6pvvl9cXX25q18ou10iD1r2TCrcohRYaenRKN2QUV6g60ZJo1VZqDk0rAKFRoIkrcFoPQprmjL0_3F1i-LVSynbyydE44kxhTbYzDXChRIHyAF0MKUUa7BL9hHFnOdh9TPsU0-5L2TKfYlpd9t4eH1i3E_X_bB3qFfDuCDA5HIeIs_PprxNcSQmFfT4wKjUePUWbnN8n730kl20f_H9-8htwupFS</recordid><startdate>19991101</startdate><enddate>19991101</enddate><creator>Nakamura, Kazuo</creator><creator>Moriyama, Yukinori</creator><creator>Kariyazono, Hiroko</creator><creator>Hamada, Nobuo</creator><creator>Toyohira, Hitoshi</creator><creator>Taira, Akira</creator><creator>Yamada, Katsushi</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19991101</creationdate><title>Influence of preoperative nutritional state on inflammatory response after surgery</title><author>Nakamura, Kazuo ; Moriyama, Yukinori ; Kariyazono, Hiroko ; Hamada, Nobuo ; Toyohira, Hitoshi ; Taira, Akira ; Yamada, Katsushi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-aef88dc57aba528280dac783e9717a7624e247b58103420a03708e170c88f2593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Blood Proteins - analysis</topic><topic>C-reactive protein</topic><topic>C-Reactive Protein - metabolism</topic><topic>Female</topic><topic>Humans</topic><topic>Immunity</topic><topic>Inflammation - complications</topic><topic>interleukin-6</topic><topic>Interleukin-6 - blood</topic><topic>interleukin-8</topic><topic>Interleukin-8 - blood</topic><topic>Leukocyte Elastase - blood</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Middle Aged</topic><topic>Nutritional Status</topic><topic>Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)</topic><topic>Parenteral Nutrition, Total</topic><topic>polymorphonuclear elastase</topic><topic>Postoperative Complications</topic><topic>Prealbumin - analysis</topic><topic>Preoperative Care</topic><topic>Protein-Energy Malnutrition - complications</topic><topic>rapid turnover protein</topic><topic>Retinol-Binding Proteins - analysis</topic><topic>Serum Albumin - analysis</topic><topic>Transferrin - analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakamura, Kazuo</creatorcontrib><creatorcontrib>Moriyama, Yukinori</creatorcontrib><creatorcontrib>Kariyazono, Hiroko</creatorcontrib><creatorcontrib>Hamada, Nobuo</creatorcontrib><creatorcontrib>Toyohira, Hitoshi</creatorcontrib><creatorcontrib>Taira, Akira</creatorcontrib><creatorcontrib>Yamada, Katsushi</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakamura, Kazuo</au><au>Moriyama, Yukinori</au><au>Kariyazono, Hiroko</au><au>Hamada, Nobuo</au><au>Toyohira, Hitoshi</au><au>Taira, Akira</au><au>Yamada, Katsushi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of preoperative nutritional state on inflammatory response after surgery</atitle><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle><addtitle>Nutrition</addtitle><date>1999-11-01</date><risdate>1999</risdate><volume>15</volume><issue>11</issue><spage>834</spage><epage>841</epage><pages>834-841</pages><issn>0899-9007</issn><eissn>1873-1244</eissn><coden>NUTRER</coden><abstract>To investigate whether the preoperative nutritional state influences the postoperative inflammatory reaction and immunity, we grouped patients whose postoperative nutritional support was performed by total parenteral nutrition into the good nutritional state group (group I) and the latent protein-calorie malnutrition suggested group (group II) based on the preoperative rapid turnover protein (RTP). Nutritional markers markedly decreased after surgery and recovered almost to preoperative levels on postoperative day (POD-) 7 in groups I and II. Nutritional markers on POD-7 in group II were significantly lower than those in group I (RTP,
P < 0.001; albumin,
P < 0.05). After surgery, levels of interleukin-6 (IL-6), C-reactive protein (CRP), and polymorphonuclear (PMN-) elastase were higher in group II than in group I (
P < 0.01). In groups I and II, IL-6 and interleukin- 8 (IL-8) rose before the remarkable elevation of CRP and PMN-elastase. In group I, all the nutritional markers showed a negative correlation with CRP and PMN-elastase. Further, a positive correlation was observed between IL-6 and CRP and between IL-8 and PMN-elastase. In conclusion, evaluation of the preoperative nutritional state appears to be very important for the prediction of postoperative complication.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10575657</pmid><doi>10.1016/S0899-9007(99)00176-8</doi><tpages>8</tpages></addata></record> |
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| ispartof | Nutrition (Burbank, Los Angeles County, Calif.), 1999-11, Vol.15 (11), p.834-841 |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Aged Biological and medical sciences Blood Proteins - analysis C-reactive protein C-Reactive Protein - metabolism Female Humans Immunity Inflammation - complications interleukin-6 Interleukin-6 - blood interleukin-8 Interleukin-8 - blood Leukocyte Elastase - blood Male Medical sciences Metabolic diseases Middle Aged Nutritional Status Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...) Parenteral Nutrition, Total polymorphonuclear elastase Postoperative Complications Prealbumin - analysis Preoperative Care Protein-Energy Malnutrition - complications rapid turnover protein Retinol-Binding Proteins - analysis Serum Albumin - analysis Transferrin - analysis |
| title | Influence of preoperative nutritional state on inflammatory response after surgery |
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