Evaluation of the effects of a preoperative 2-hour fast with maltodextrine and glutamine on insulin resistance, Acute-phase response, nitrogen balance, and serum glutathione after laparoscopic cholecystectomy: A controlled randomized trial

Journal of Parenteral and Enteral Nutrition

Volumn 36, Issue 1, 2012, Pages 43-52

  Dock Nascimento, Diana Borges ^a   De Aguilar Nascimento, Jose Eduardo ^b   Magalhaes Faria, Marcelo Sepulveda ^c   Caporossi, Cervantes ^b   Slhessarenko, Natasha ^a   Waitzberg, Dan Linetzky ^d  

^a Department of Food and Nutrition ^*  (Brazil)

^b FEDERAL UNIVERSITY OF MATO GROSSO   (Brazil)

^c UNIVERSITY OF CUIABÁ   (Brazil)

^d UNIVERSITY OF SÃO PAULO   (Brazil)

Author keywords

acute phase proteins; carbohydrate; glutamine; glutathione; organic response to trauma; preoperative fasting

Indexed keywords

ACUTE PHASE PROTEIN; ALBUMIN; ANTIEMETIC AGENT; C REACTIVE PROTEIN; GLUTAMINE; GLUTATHIONE; HYDROCORTISONE; INTERLEUKIN 6; LACTIC ACID; MALTODEXTRIN; PLACEBO; PYRUVIC ACID; TRIACYLGLYCEROL; VERY LOW DENSITY LIPOPROTEIN CHOLESTEROL;

ACUTE PHASE RESPONSE; ADULT; ARTICLE; BLOOD SAMPLING; CHOLECYSTECTOMY; CHOLESTEROL BLOOD LEVEL; CLINICAL ARTICLE; CONTROLLED STUDY; DIET RESTRICTION; ENDOSCOPIC SURGERY; FEMALE; HOMEOSTASIS; HUMAN; HYDROCORTISONE BLOOD LEVEL; INSULIN RESISTANCE; LACTATE BLOOD LEVEL; LAPAROSCOPIC SURGERY; NAUSEA AND VOMITING; NITROGEN BALANCE; NITROGEN URINE LEVEL; POSTOPERATIVE PERIOD; PREOPERATIVE TREATMENT; PRIORITY JOURNAL; PROTEIN BLOOD LEVEL; RANDOMIZED CONTROLLED TRIAL; SURGICAL INJURY; TRIACYLGLYCEROL BLOOD LEVEL;

ACUTE-PHASE REACTION; ADULT; BLOOD GLUCOSE; C-REACTIVE PROTEIN; CHOLECYSTECTOMY, LAPAROSCOPIC; FASTING; FEMALE; GLUTAMINE; GLUTATHIONE; HUMANS; INSULIN RESISTANCE; INTERLEUKIN-6; MIDDLE AGED; NITROGEN; POLYSACCHARIDES; POSTOPERATIVE PERIOD; PREOPERATIVE CARE; YOUNG ADULT;

EID: 84855653368     PISSN: 01486071     EISSN: None     Source Type: Journal    
DOI: 10.1177/0148607111422719     Document Type: Article

References (39)

1. Practice guidelines for preoperative fasting and the use of pharmacological agents for the prevention of pulmonary aspiration: application to healthy patients undergoing elective procedures. Anesthesiology. 1999 ; 90: 896-905
2. Søreide E, Eriksson LI, Hirlekar G, et al. Pre-operative fasting guidelines: an update. Acta Anaesthesiol Scand. 2005 ; 49: 1041-1047 (Pubitemid 41192451)
3. Søreide E, Ljungqvist O. Modern preoperative fasting guidelines: a summary of the present recommendations and remaining questions. Best Pract Res Clin Anaesthesiol. 2006 ; 20: 483-491 (Pubitemid 44339426)
4. Weimann A, Braga M, Harsanyi L, Laviano A, Ljungqvist O, Soeters P. ESPEN Guidelines on Enteral Nutrition: surgery including organ transplantation. Clin Nutr. 2006 ; 25: 224-244 (Pubitemid 43832525)
5. Ljungqvist O. Modulating postoperative insulin resistance by preoperative carbohydrate loading. Best Pract Res Clin Anaesthesiol. 2009 ; 23: 401-409
6. Faria MS, Aguilar-Nascimento JE, Pimenta OS, Alvarenga LC, Dock-Nascimento DB, Slhessarenko N. Preoperative fasting of 2 hours minimizes insulin resistance and organic response to trauma after video-cholecystectomy: a randomized, controlled, clinical trial. World J Surg. 2009 ; 33: 1158-1164
7. Aguilar-Nascimento JE, Salomão AB, Caporossi C, Diniz BN. Clinical benefits after the implementation of a multimodal perioperative protocol in elderly patients. Arq Gastroenterol. 2010 ; 47: 178-183
8. Melis GC, van Leeuwen PA, von Blomberg-van der Flier BM, et al. A carbohydrate-rich beverage prior to surgery prevents surgery-induced immunodepression: a randomized, controlled, clinical trial. JPEN J Parenter Enteral Nutr. 2006 ; 30: 21-26 (Pubitemid 43092971)
9. Yuill KA, Richardson RA, Davidson HIM, Garden OJ, Parks RW. The administration of an oral carbohydrate-containing fluid prior to major elective upper-gastrointestinal surgery preserves skeletal muscle mass post-operatively: a randomised clinical trial. Clin Nutr. 2005 ; 24: 32-37
10. Young VR, Ajami AM. Glutamine: the emperor or his clothes?. J Nutr. 2001 ; 131 (suppl 9). 2449-2459
11. Souba WW. Nutritional support. N Engl J Med. 1997 ; 336: 41-48 (Pubitemid 26428286)
12. Lacey JM, Wilmore DW. Is glutamine a conditionally essential amino acid?. Nutr Rev. 1990 ; 48: 297-309
13. Coëffier M, Claeyssens S, Hecketsweiler B, Lavoinne A, Ducrotté P, Déchelotte P. Enteral glutamine stimulates protein synthesis and decreases ubiquitin mRNA level in human gut mucosa. Am J Physiol Gastrointest Liver Physiol. 2003 ; 285: 266-273
14. Déchelotte P, Hasselmann M, Cynober L, et al. L-alanyl-L-glutamine dipeptide-supplemented total parenteral nutrition reduces infectious complications and glucose intolerance in critically ill patients: the French controlled, randomized, double-blind, multicenter study. Crit Care Med. 2006 ; 34: 598-604
15. Coeffier M, Marion R, Ducrotté P, Déchelotte P. Modulating effect of glutamine on IL-1-induced cytokine production by human gut. Clin Nutr. 2003 ; 22: 407-413 (Pubitemid 37063303)
16. Fuentes-Orozco C, Cervantes-Guevara G, Mucino-Hernandez , et al. L-alanyl-L-glutamine-supplemented parenteral nutrition decreases infectious morbidity rate in patients with severe acute pancreatitis. JPEN J Parenter Enteral Nutr. 2008 ; 32: 403-411 (Pubitemid 351875937)
17. Ockenga J, Borchert K, Rifai K, Manns MP, Bischoff SC. Effect of glutamine-enriched total parenteral nutrition in patients with acute pancreatitis. Clin Nutr. 2002 ; 21: 409-416 (Pubitemid 35189951)
18. Hong RW, Rounds J, Helton WS, Robinson M, Wilmore DW. Glutamine preserves liver glutathione after lethal hepatic injury. Ann Surg. 1992 ; 215: 114-119
19. Flaring UB, Rooyackers OE, Wernerman J, Hammarqvist F. Glutamine attenuates post-traumatic glutathione depletion in human muscle. Clin Sci (Lond). 2003 ; 104: 275-282 (Pubitemid 36308175)
20. Wischmeyer PE. Glutamine: role in critical illness and ongoing clinical trials. Curr Opin Gastroenterol. 2008 ; 24: 190-197 (Pubitemid 351322786)
21. Novak F, Heyland DK, Avenell A, Drover JW, Su X. Glutamine supplementation in serious illness: a systematic review of the evidence. Crit Care Med. 2002 ; 30: 2022-2029
22. Awad S, Constantin-Teodosiu D, Constantin D, et al. Cellular mechanisms underlying the protective effects of preoperative feeding: a randomized study investigating muscle and liver glycogen content, mitochondrial function, gene and protein expression. Ann Surg. 2010 ; 252: 247-253
23. Awad S, Stephenson MC, Placidi E, et al. The effects of fasting and refeeding with a 'metabolic preconditioning' drink on substrate reserves and mononuclear cell mitochondrial function. Clin Nutr. 2010 ; 29: 538-544
24. Physical Status: The Use and Interpretation of Anthropometry: Report of a WHO Expert Committee. WHO Technical Report Series. Geneva, Switzerland: WHO ; 1995 :
25. Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985 ; 28: 412-429
26. McQuiggan M, Kozar R, Sailors RM, Ahn C, McKinley B, Moore F. Enteral glutamine during active shock resuscitation is safe and enhances tolerance of enteral feeding. JPEN J Parenter Enteral Nutr. 2008 ; 32 (1). 28-35
27. Awad S, Fearon KC, Macdonald IA, Lobo DN. A randomized cross-over study of the metabolic and hormonal responses following two preoperative conditioning drinks. Nutrition. 2011 ; 27: 938-942
28. Landau BR, Wahren J, Chandramouli V, Schumann WC, Ekberg K, Kalhan SC. Contributions of gluconeogenesis to glucose production in the fasted state. J Clin Invest. 1996 ; 98: 378-385 (Pubitemid 26255737)
29. Yada T, Dezaki K, Sone H, et al. Ghrelin regulates insulin release and glycemia: physiological role and therapeutic potential. Curr Diabetes Rev. 2008 ; 4: 18-23 (Pubitemid 351210968)
30. Cao C, Chen Y, Wang W, Liu Y, Liu G. Ghrelin inhibits insulin resistance induced by glucotoxicity and lipotoxicity in cardiomyocyte. Peptides. 2011 ; 32: 209-215
31. Aguilar-Nascimento JE, Dock-Nascimento DB. Reducing preoperative fasting time: a trend based on evidence. World J Gastrointest Surg. 2010 ; 2: 57-60
32. O'Riordain MG, Fearon KC, Ross JA, et al. Glutamine-supplemented total parenteral nutrition enhances T-lymphocyte response in surgical patients undergoing colorectal resection. Ann Surg. 1994 ; 220: 212-221 (Pubitemid 24309421)
33. Exner R, Tamandl D, Goetzinger P, et al. Perioperative GLY-GLN infusion diminishes the surgery-induced period of immunosuppression: accelerated restoration of the lipopolysaccharide-stimulated tumor necrosis factor-alpha response. Ann Surg. 2003 ; 237: 110-115 (Pubitemid 36622323)
34. Engel JM, Mühling J, Kwapisz M, Heidt M. Glutamine administration in patients undergoing cardiac surgery and the influence on blood glutathione levels. Acta Anaesthesiol Scand. 2009 ; 53: 1317-1323
35. Fan YP, Yu JC, Kang WM, Zhang Q. Effects of glutamine supplementation on patients undergoing abdominal surgery. Chin Med Sci J. 2009 ; 24: 55-59
36. Rafoth RJ, Onstad GR. Urea synthesis after oral protein ingestion in man. J Clin Invest. 1975 ; 56: 1170-1174
37. Humberg O. Regulation of urea synthesis by diet protein and carbohydrate in normal man and in patients with cirrhosis: relationship to glucagon and insulin. Dan Med Bull. 1997 ; 44: 225-241
38. Nygren J, Soop M, Thorell A, Efendic S, Nair KS, Ljungqvist O. Preoperative oral carbohydrate administration reduces postoperative insulin resistance. Clin Nutr. 1998 ; 17: 65-71 (Pubitemid 28230842)
39. Muniyappa R, Lee S, Chen H, Quon MJ. Current approaches for assessing insulin sensitivity and resistance in vivo: advantages, limitations, and appropriate usage. Am J Physiol Endocrino Metab. 2008 ; 294: 15-26