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June 1979, Vol 105, No. 6 >
ARTICLE | June 1979

Current Status of Hyperalimentation FREE

Austin I. King, MD
[+] Author Affiliations

Accepted for publication Feb 5, 1979.

Reprint requests to Institute of Otorhinolaryngology and Communicative Disorders, Baylor College of Medicine, 1200 Moursund Ave, Houston, TX 77025 (Dr King).


Arch Otolaryngol Head Neck Surg. 1979;105(6):369-372. doi:10.1001/archotol.1979.00790180067018
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PRESENTATION OF CASE  A 49-year-old man received postradiation therapy for squamous cell carcinoma of the cricopharyngeal area (T3 N1 M0). He had recently undergone pharyngectomy, laryngectomy, radical neck dissection on the right side of the neck, and closure of the pharynx with a right deltopectoral flap. Postoperatively, a fistula from the pharynx to the anterior aspect of the neck developed in the patient. One month postoperatively, the right carotid artery was ligated because of an impending rupture of it. After surgery, the patient did not do well medically. His weight dropped from 66.6 to 52.2 kg. The patient's hematocrit reading decreased to 25%, and the serum albumin level was reduced to 2.7 g/dL. He began to have persistent vomiting and diarrhea with his tube feedings.Because of ineffective alimentation, the patient received parenteral hyperalimentation. After an initial diuresis, the patient's weight increased from 52.2 to 57.6 kg in two weeks.

REFERENCES

1 +
Dudrick SJ, Wilmore DW, Vars H, et al:  Long term parenteral nutrition with growth development and positive nitrogen balance . Surgery 64:134-142, 1968;.
2 +
Allardyce DB, Williams BJ:  Parenteral solutions for nutritional support in surgical patients . Am J Surg 133:315-318, 1977;.
3 +
Blackburn GL, Bistrian BR, Maini B:  Nutritional and metabolic assessment of hospitalized patients . JPEN 1:11-20, 1977;.
4 +
Bistrian BR, Blackburn GL, Sherman M, et al:  Therapeutic index of nutritional depletion in hospitalized patients . Surg Gynecol Obstet 141:512-516, 1975;.
5 +
Kinney JM, Egdahl R, Zuidena G (eds): Manual of Preoperative and Postoperative Care , ed 2. Philadelphia, WB Saunders Co, 1971;, pp 75-108.
6 +
Daly JM, Steiger E, Vars H, et al:  Nutritional parameters . Ann Surg 180:709-715, 1974;.
7 +
Skillman JJ, Rosenoer VM, Smith P, et al:  Improved albumin synthesis in postoperative patients by amino acid infusion . N Engl J Med 295:1037-1040, 1976;.
8 +
Milder J:  Conference on nutrition and cancer therapy . Cancer Res 37:2429-2471, 1977;.
9 +
Hill GL, Pickford I, Young G, et al:  Malnutrition in surgical patients . Lancet 1:684-692, 1977;.
10 +
Hoover HC Jr, Grant JP, Gorschboth M, et al:  Nitrogen sparing intravenous fluids in postoperative patients . N Engl J Med 293:172-175, 1975;.
11 +
Freeman JB, Stegink LD, Meyer P, et al:  Metabolic effects of amino acid vs dextrose infusion in surgical patients . Arch Surg 110:916-921, 1975;.
12 +
Gazzaniga A, Day A, Bartlett R, et al:  Endogenous caloric sources and nitrogen balance . Arch Surg 111:1357-1361, 1976;.
13 +
Silberman H, Freehauf M, Fong G, et al:  Parenteral nutrition with lipids . JAMA 238:1380-1382, 1977;.
14 +
Kaminski MV:  Enteral hyperalimentation . Surg Gynecol Obstet 143:12-16, 1976;.
15 +
Dobbie RP, Hoffmeister JA:  Continuous pump-tube enteric hyperalimentation . Surg Gynecol Obstet 143:273-276, 1976;.
16 +
Dudrick SJ, Ruberg RL:  Principles and practice of parenteral nutrition . Gastroenterology 61:901-909, 1971;.
17 +
Yeo MT, Gazzaniga AB, Bartlett R, et al:  Total intravenous nutrition: Experience with fat emulsions and hypertonic glucose . Arch Surg 106:792-796, 1973;.
18 +
Copeland EM, Dudrick SJ:  Nutritional aspects of cancer . Curr Probl Cancer 1:1-50, 1976;.
19 +
Lanzotti VC, Copeland EM, George S:  Cancer chemotherapeutic response and intravenous hyperalimentation . Cancer Chemother Rep 59:437-439, 1975;.

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1 +
Dudrick SJ, Wilmore DW, Vars H, et al:  Long term parenteral nutrition with growth development and positive nitrogen balance . Surgery 64:134-142, 1968;.
2 +
Allardyce DB, Williams BJ:  Parenteral solutions for nutritional support in surgical patients . Am J Surg 133:315-318, 1977;.
3 +
Blackburn GL, Bistrian BR, Maini B:  Nutritional and metabolic assessment of hospitalized patients . JPEN 1:11-20, 1977;.
4 +
Bistrian BR, Blackburn GL, Sherman M, et al:  Therapeutic index of nutritional depletion in hospitalized patients . Surg Gynecol Obstet 141:512-516, 1975;.
5 +
Kinney JM, Egdahl R, Zuidena G (eds): Manual of Preoperative and Postoperative Care , ed 2. Philadelphia, WB Saunders Co, 1971;, pp 75-108.
6 +
Daly JM, Steiger E, Vars H, et al:  Nutritional parameters . Ann Surg 180:709-715, 1974;.
7 +
Skillman JJ, Rosenoer VM, Smith P, et al:  Improved albumin synthesis in postoperative patients by amino acid infusion . N Engl J Med 295:1037-1040, 1976;.
8 +
Milder J:  Conference on nutrition and cancer therapy . Cancer Res 37:2429-2471, 1977;.
9 +
Hill GL, Pickford I, Young G, et al:  Malnutrition in surgical patients . Lancet 1:684-692, 1977;.
10 +
Hoover HC Jr, Grant JP, Gorschboth M, et al:  Nitrogen sparing intravenous fluids in postoperative patients . N Engl J Med 293:172-175, 1975;.
11 +
Freeman JB, Stegink LD, Meyer P, et al:  Metabolic effects of amino acid vs dextrose infusion in surgical patients . Arch Surg 110:916-921, 1975;.
12 +
Gazzaniga A, Day A, Bartlett R, et al:  Endogenous caloric sources and nitrogen balance . Arch Surg 111:1357-1361, 1976;.
13 +
Silberman H, Freehauf M, Fong G, et al:  Parenteral nutrition with lipids . JAMA 238:1380-1382, 1977;.
14 +
Kaminski MV:  Enteral hyperalimentation . Surg Gynecol Obstet 143:12-16, 1976;.
15 +
Dobbie RP, Hoffmeister JA:  Continuous pump-tube enteric hyperalimentation . Surg Gynecol Obstet 143:273-276, 1976;.
16 +
Dudrick SJ, Ruberg RL:  Principles and practice of parenteral nutrition . Gastroenterology 61:901-909, 1971;.
17 +
Yeo MT, Gazzaniga AB, Bartlett R, et al:  Total intravenous nutrition: Experience with fat emulsions and hypertonic glucose . Arch Surg 106:792-796, 1973;.
18 +
Copeland EM, Dudrick SJ:  Nutritional aspects of cancer . Curr Probl Cancer 1:1-50, 1976;.
19 +
Lanzotti VC, Copeland EM, George S:  Cancer chemotherapeutic response and intravenous hyperalimentation . Cancer Chemother Rep 59:437-439, 1975;.

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