Titlebook: Surgical Metabolism; The Metabolic Care o Kimberly A. Davis,Stanley H. Rosenbaum Book 20141st edition Springer Science+Business Media New Y

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Malignancy,es in cancer are unique and are a result of abnormal anatomic and physiologic circumstances. Factors that contribute to this are cancer cachexia, abnormalities in metabolism, and the cytokine milieu. Because of these abnormalities surgery in cancer patients can be more problematic. It is important t

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Sepsis and Nutrition,timated that in the United States, there are greater than 1.1 million cases of sepsis per year at an annual cost of $24.3 billion. Sepsis remains the leading cause of death in non-cardiac intensive care units (ICUs). In spite of extensive research, sepsis related mortality remains prohibitively high

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Intestinal Failure,itional intake. Gut failure has numerous etiologies of both medical and surgical nature, but most the common is Short Bowel Syndrome (SBS), resulting from surgical resection. Gut failure can be defined as “symptoms and pathophysiologic state associated with inadequate nutrient assimilation as a resu

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Enteral Nutrition,tion that nutritional supplementation is paramount in the care of surgical patient. We have begun to understand the body at a more molecular level and acknowledge the complex interplay of body systems and hormonal superhighways. It is this understanding that has enlightened us to realize the role th

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Parenteral Nutrition,tial micronutrients (vitamins, minerals, trace elements) remains common in hospitalized surgical (and medical) patients in developed countries. The prevalence of various degree of malnutrition among total hospital admissions and in intensive care unit (ICU) settings have reported to occur in 20 % to

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Endocrine Perturbations in Critical Illness, thereby leading to hyperglycemia. Extensive evidence from observational studies reveals a strong correlation between hyperglycemia during critical care and patient outcomes, including mortality. Even when controlling for other markers of severity of illness, the degree of blood glucose elevation ap

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