"1"^^ . "Kdy pot\u0159ebuje chirurgick\u00FD pacient parenter\u00E1ln\u00ED v\u00FD\u017Eivu"@cs . . . "parenteral nutrition; anastomotic leak; healing; surgical trauma; catabolism"@en . . "5"^^ . "Havel, Eduard" . "1"^^ . . "N\u011Bkter\u00E9 pr\u00E1ce posledn\u00EDch let nazna\u010Duj\u00ED, \u017Ee pau\u0161\u00E1ln\u00ED pod\u00E1v\u00E1n\u00ED parenter\u00E1ln\u00ED v\u00FD\u017Eivy v dob\u011B n\u011Bkolikadenn\u00EDho znemo\u017En\u011Bn\u00ED peror\u00E1ln\u00EDho p\u0159\u00EDjmu j\u00EDdla m\u016F\u017Ee b\u00FDt \u0161kodliv\u00E9. Vyu\u017Eit\u00ED endogenn\u00ED metabolick\u00E9 rezervy dob\u0159e \u017Eiven\u00E9ho organismu, kter\u00E1 je mobilizov\u00E1na vlivem nemoci \u010Di operace, umo\u017E\u0148uje organismu p\u0159e\u017E\u00EDt a zahojit akutn\u00ED po\u0161kozen\u00ED bez nutri\u010Dn\u00ED podpory. Na druhou stranu malnutrice jednozna\u010Dn\u011B zvy\u0161uje riziko poopera\u010Dn\u00EDch komplikac\u00ED a zvy\u0161uje poopera\u010Dn\u00ED letalitu. V situaci malnutrice a adapta\u010Dn\u00EDho hypometabolismu organismus po operaci za prv\u00E9 nemobilizuje pot\u0159ebn\u00E9 substr\u00E1ty a nesyntetizuje nov\u00E9 tk\u00E1n\u011B dostate\u010Dn\u011B rychle a za druh\u00E9 prohlouben\u00EDm energetick\u00E9ho a proteinov\u00E9ho deficitu se organismus nebezpe\u010Dn\u011B oslab\u00ED pro vznik poopera\u010Dn\u00EDch, zejm\u00E9na infek\u010Dn\u00EDch komplikac\u00ED. Modern\u00ED \u0161etrn\u00E9 opera\u010Dn\u00ED postupy, dobr\u00FD nutri\u010Dn\u00ED stav p\u0159ed operac\u00ED a \u010Dasn\u00E9 obnoven\u00ED p\u0159\u00EDjmu j\u00EDdla po operaci na jedn\u00E9 stran\u011B spolu s vedlej\u0161\u00EDmi \u00FA\u010Dinky a riziky parenter\u00E1ln\u00ED v\u00FD\u017Eivy na stran\u011B druh\u00E9 p\u0159in\u00E1\u0161ej\u00ED ot\u00E1zku, zda v chirurgii je\u0161t\u011B pot\u0159ebujeme parenter\u00E1ln\u00ED v\u00FD\u017Eivu. Je parenter\u00E1ln\u00ED v\u00FD\u017Eiva p\u0159\u00EDmo toxick\u00E1 nebo jenom zbyte\u010Dn\u00E1 \u010Di se neum\u00EDme vyhnout vedlej\u0161\u00EDm \u00FA\u010Dink\u016Fm neodbornou aplikac\u00ED?"@cs . . "92" . "RIV/00216208:11150/13:10190841" . . "Some recent studies suggest that the blanket use of parenteral nutrition may be harmful in the event of short-term starvation due to acute illness. Utilization of endogenous substrate resources which are mobilized anyway due to acute illness or operation allows the organism to survive and recover from acute damage without nutritional support. Modern, less invasive procedures in surgery, goog preoperative nutritional status and early recovery of food intake after surgery on the one hand and the side effects and risks of artificiak nutrition on the other hand raise the question whether surgery in general still needs parenteral nutrition. Even on the basis of modern knowledge we cannot explain why, in standart administration ofparenteral nutrition, there is a higher incidence of postoperative complications. Is parenteral nutrition directly toxic or useless, or are we just unable to avoid the side effects of improper application."@en . . "When a surgical patient needs parenteral nutrition"@en . "N\u011Bkter\u00E9 pr\u00E1ce posledn\u00EDch let nazna\u010Duj\u00ED, \u017Ee pau\u0161\u00E1ln\u00ED pod\u00E1v\u00E1n\u00ED parenter\u00E1ln\u00ED v\u00FD\u017Eivy v dob\u011B n\u011Bkolikadenn\u00EDho znemo\u017En\u011Bn\u00ED peror\u00E1ln\u00EDho p\u0159\u00EDjmu j\u00EDdla m\u016F\u017Ee b\u00FDt \u0161kodliv\u00E9. Vyu\u017Eit\u00ED endogenn\u00ED metabolick\u00E9 rezervy dob\u0159e \u017Eiven\u00E9ho organismu, kter\u00E1 je mobilizov\u00E1na vlivem nemoci \u010Di operace, umo\u017E\u0148uje organismu p\u0159e\u017E\u00EDt a zahojit akutn\u00ED po\u0161kozen\u00ED bez nutri\u010Dn\u00ED podpory. Na druhou stranu malnutrice jednozna\u010Dn\u011B zvy\u0161uje riziko poopera\u010Dn\u00EDch komplikac\u00ED a zvy\u0161uje poopera\u010Dn\u00ED letalitu. V situaci malnutrice a adapta\u010Dn\u00EDho hypometabolismu organismus po operaci za prv\u00E9 nemobilizuje pot\u0159ebn\u00E9 substr\u00E1ty a nesyntetizuje nov\u00E9 tk\u00E1n\u011B dostate\u010Dn\u011B rychle a za druh\u00E9 prohlouben\u00EDm energetick\u00E9ho a proteinov\u00E9ho deficitu se organismus nebezpe\u010Dn\u011B oslab\u00ED pro vznik poopera\u010Dn\u00EDch, zejm\u00E9na infek\u010Dn\u00EDch komplikac\u00ED. Modern\u00ED \u0161etrn\u00E9 opera\u010Dn\u00ED postupy, dobr\u00FD nutri\u010Dn\u00ED stav p\u0159ed operac\u00ED a \u010Dasn\u00E9 obnoven\u00ED p\u0159\u00EDjmu j\u00EDdla po operaci na jedn\u00E9 stran\u011B spolu s vedlej\u0161\u00EDmi \u00FA\u010Dinky a riziky parenter\u00E1ln\u00ED v\u00FD\u017Eivy na stran\u011B druh\u00E9 p\u0159in\u00E1\u0161ej\u00ED ot\u00E1zku, zda v chirurgii je\u0161t\u011B pot\u0159ebujeme parenter\u00E1ln\u00ED v\u00FD\u017Eivu. Je parenter\u00E1ln\u00ED v\u00FD\u017Eiva p\u0159\u00EDmo toxick\u00E1 nebo jenom zbyte\u010Dn\u00E1 \u010Di se neum\u00EDme vyhnout vedlej\u0161\u00EDm \u00FA\u010Dink\u016Fm neodbornou aplikac\u00ED?" . . "[BC060E4C0449]" . "Rozhledy v chirurgii" . "11150" . "When a surgical patient needs parenteral nutrition"@en . . . . . "7" . "82548" . "Kdy pot\u0159ebuje chirurgick\u00FD pacient parenter\u00E1ln\u00ED v\u00FD\u017Eivu" . . . "0035-9351" . . "CZ - \u010Cesk\u00E1 republika" . "RIV/00216208:11150/13:10190841!RIV14-MSM-11150___" . . "Kdy pot\u0159ebuje chirurgick\u00FD pacient parenter\u00E1ln\u00ED v\u00FD\u017Eivu" . "I" . . "Kdy pot\u0159ebuje chirurgick\u00FD pacient parenter\u00E1ln\u00ED v\u00FD\u017Eivu"@cs .