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Metabolic effect of intraoperative nutrient administration during laparoscopic colorectal cancer surgery

Research Project

Project/Area Number 16K10475
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field General surgery
Research InstitutionJuntendo University

Principal Investigator

Satoh Daizoh  順天堂大学, 医学部, 教授 (30205934)

Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2018: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords全身麻酔 / 栄養投与 / アミノ酸 / ブドウ糖 / 脂質 / 脂質異化 / タンパク質異化 / エネルギー消費量 / 手術中栄養投与 / 術後合併症 / 入院期間 / ケトン体 / 窒素バランス / 3-メチルヒスチジン / 蛋白異化 / 手術侵襲 / 安静時エネルギー消費量 / 間接熱量計 / 栄養学 / 臨床 / 医療・福祉
Outline of Final Research Achievements

We investigated the metabolic effects of intraoperative administration of glucose and amino acids during laparoscopic colorectal cancer surgery. Methods: We randomly assigned patients to receive intravenous fluids with (GA group) or without (C group) glucose (75 g/L) and amino acids (30 g/L) using at 60 mL/h after anaesthesia induction. We took measurements before (TI) and after (T2) surgery during general anaesthesia. Results: Ketone body levels were significantly higher in the C group than in the GA group at T2. During anaesthesia, the nitrogen balance in the GA group was significantly higher than that in the C group. At T2, the urine 3 methyl histidine/urine creatinine ratios were similar between the GA and C groups. Conclusions: Ketone body levels were considerably higher in the control group than in the nutrition group after surgery. The nitrogen balance in the nutrition group was significantly higher than that in the control group.

Academic Significance and Societal Importance of the Research Achievements

本研究では、全身麻酔中の栄養投与で入院期間の減少と術後の合併症を少なくすることを目的として「手術中の至適栄養投与量の基準値」を明らかにすることである。 今回の大腸癌手術時の研究では、手術中の栄養投与(アミノ酸、ブドウ糖、脂質)によって術中の低血糖を抑制するととも手術侵襲による脂肪分解やタンパク質分解を抑制する可能性が証明された。 入院期間の短縮と術後合併症減少傾向もみられた。 術中の栄養投与は組織の修復を早める可能性がある。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (7 results)

All 2019 2018 2017

All Journal Article (1 results) Presentation (6 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] Effects of intraoperative nutrients administration on energy expenditure during general anesthesia.2018

    • Author(s)
      Satoh D, Toda N, Yamamoto I
    • Journal Title

      Nutrition

      Volume: 45 Pages: 37-41

    • DOI

      10.1016/j.nut.2017.06.012

    • Related Report
      2018 Research-status Report 2017 Research-status Report
  • [Presentation] Effects of Intraoperative Glucose and Amino Acidadministration on Amino Acid Metabolism During General Anesthesia2019

    • Author(s)
      Hirai K, Satoh D, Tanaka M,Kisii J, Kawagoe I,Inada, E
    • Organizer
      2019年アメリカ麻酔学会
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 腹腔鏡下結腸悪性腫瘍切除術全身麻酔中の栄養投与と安静時エネルギー消費量2018

    • Author(s)
      金子 里維、佐藤 大三、三高 千恵子、藤野 隆史、寺田 裕作、稲田 英一
    • Organizer
      日本麻酔科学会第65回学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] Effect of intraoperative nutrients administration on the metabolism during general anesthesia2018

    • Author(s)
      Kisii J, Satoh D, Tanaka M, Chiba S, Kawagoe I, Inada E
    • Organizer
      2018Annual Meeting american society of anestheiologist
    • Related Report
      2018 Research-status Report
  • [Presentation] 腹腔鏡下手術中の栄養投与と窒素バランスの研究2017

    • Author(s)
      小松 茜
    • Organizer
      日本麻酔科学会第64回学術集会
    • Place of Presentation
      神戸
    • Year and Date
      2017-06-08
    • Related Report
      2016 Research-status Report
  • [Presentation] 腔鏡下手術中の栄養投与と窒素バランスの研究2017

    • Author(s)
      小松 茜、佐藤 大三、山口 愛、山﨑 翔、勝田 陽介、稲田 英一
    • Organizer
      第64回日本麻酔科学会
    • Related Report
      2017 Research-status Report
  • [Presentation] Intra-operative Nitrogen Balance and Blood Glucose During Laparoscopic Colorectal Cancer Surgery2017

    • Author(s)
      Tanaka M, Satoh D, Komatsu K, Katsuda Y, Kawagoe I, Inada E
    • Organizer
      2017Annual Meeting american society of anestheiologist
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research

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Published: 2016-04-21   Modified: 2021-02-19  

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