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[Effect of growth hormone and parenteral nutrition on the catabolic phase following major digestive surgery]. / Efecto de la hormona del crecimiento y la nutrición parenteral sobre la fase catabólica tras cirugía digestiva mayor.
Guerrero, J A; Capitán, J M; Rosell, J; Ruiz, M E; García, E; García-Carriazo, M; Maldonado, M J; Vara Thorbeck, R.
Afiliación
  • Guerrero JA; Cátedra de Patología y Clínica Quirúrgica, Hospital Universitario, Granada.
Rev Esp Enferm Dig ; 81(6): 379-82, 1992 Jun.
Article en Es | MEDLINE | ID: mdl-1633010
The purpose of the present study was to determine if the administration of a biosynthetic human growth hormone (bGH) was able to enhance the efficacy of total parenteral nutrition (PN). Patients (n = 38) who had undergone major gastrointestinal surgery were randomly divided in two groups. Group I (n = 20) treated only with PN and Group II (n = 18) treated as in Group I plus bGH (4 UI/daily). Our study shows that the administration of bGH produces a significant increase in serum levels of growth hormone and Somatomedin-C. It also caused a positive nitrogen balance from the first 24 hours on (p less than 0.01). In Group II on day 12 after operation a statistically significant increase in transferrin (p less than 0.05), albumin (p less than 0.01) and total proteins (p less than 0.02) was observed. Our study suggest that the administration of bGH produces, perhaps through Somatomedin-C as mediator, an increase in protein synthesis.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Posoperatorios / Hormona del Crecimiento / Nutrición Parenteral Total / Enfermedades Gastrointestinales Tipo de estudio: Clinical_trials Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: Es Revista: Rev Esp Enferm Dig Asunto de la revista: GASTROENTEROLOGIA Año: 1992 Tipo del documento: Article País de afiliación: Grenada Pais de publicación: España
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Posoperatorios / Hormona del Crecimiento / Nutrición Parenteral Total / Enfermedades Gastrointestinales Tipo de estudio: Clinical_trials Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: Es Revista: Rev Esp Enferm Dig Asunto de la revista: GASTROENTEROLOGIA Año: 1992 Tipo del documento: Article País de afiliación: Grenada Pais de publicación: España