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THE CONTROL OF HYPOPROTEINEMIA IN SURGICAL PATIENTS

THE CONTROL OF HYPOPROTEINEMIA IN SURGICAL PATIENTS The surgeon has become increasingly concerned with the nutrition of the surgical patient since it has been shown that a variety of lesions complicating operations are the result of nutritional disturbances. Jones, Eaton and White1 and Mecray, Barden, Ravdin and their associates2 have called attention to the hazards resulting from hypoproteinemia in patients subjected to operation. As the serum protein level is reduced in a dog with an intact stomach by diet and plasmapheresis the gastric emptying time of a water-barium meal is prolonged (fig. 1). Hypoproteinemia in man may so accentuate the edema around the stoma of a newly formed gastro-enteric anastomosis as to mimic in every way a technical defect of the anastomosis (figs. 2, 3, 4 and 5). In this condition there occurs also a marked delay in the passage of a bolus through the small intestine.3 The studies of Thompson, Ravdin, Rhoads and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

THE CONTROL OF HYPOPROTEINEMIA IN SURGICAL PATIENTS

JAMA , Volume 114 (2) – Jan 13, 1940

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References (10)

Publisher
American Medical Association
Copyright
Copyright © 1940 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1940.02810020011003
Publisher site
See Article on Publisher Site

Abstract

The surgeon has become increasingly concerned with the nutrition of the surgical patient since it has been shown that a variety of lesions complicating operations are the result of nutritional disturbances. Jones, Eaton and White1 and Mecray, Barden, Ravdin and their associates2 have called attention to the hazards resulting from hypoproteinemia in patients subjected to operation. As the serum protein level is reduced in a dog with an intact stomach by diet and plasmapheresis the gastric emptying time of a water-barium meal is prolonged (fig. 1). Hypoproteinemia in man may so accentuate the edema around the stoma of a newly formed gastro-enteric anastomosis as to mimic in every way a technical defect of the anastomosis (figs. 2, 3, 4 and 5). In this condition there occurs also a marked delay in the passage of a bolus through the small intestine.3 The studies of Thompson, Ravdin, Rhoads and

Journal

JAMAAmerican Medical Association

Published: Jan 13, 1940

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