Although morbidly obese patients are assumed to be overnourished, they require the same intake of nitrogen postoperatively as other patients to achieve anabolism and to spare endogenous protein. Total parenteral nutrition was employed in six morbidly obese patients with complications following gastric partitioning that precluded oral intake and was considered essential to their recovery.
Get full access to this article
View all access options for this article.
References
1.
Printen KJ, Paulk SC, Mason EE: Acute postoperative wound complications after gastric surgery for morbid obesity . Am Surg41:483, 1975
2.
Pace WM, Martin EW Jr, Tetirick CE Jr, et al: Gastric partitioning for morbid obesity. Ann Surg190:392, 1979
3.
Blackburn GC , Bistrian BR, Maine BS, et al: Nutritional and metabolic assessment of the hospitalized patient. JPEN1:11, 1977
4.
Greenberg GR , Marliss EB, Anderson GH, et al: Protein sparing therapy in postoperative patients: effects of added hypocaloric glucose or lipid. N Engl J Med294:1411, 1976
