Nutrition and Metabolism in the Surgical Patient / Edition 2

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Editorial Reviews

Doody's Review Service
Reviewer: Walter J. Chwals, MD (University of Chicago Hospitals)
Description: This is the second edition of a textbook dealing with surgical nutrition and metabolism, first published in 1983. The editor and many of the 57 contributors are internationally recognized leaders and investigators in the field. The book entails a comprehensive overview of the interaction of metabolic components important in normal physiologic homeostasis and in acute injury states as well as a discussion of nutritional strategies that may be used to support the acute metabolic needs of the critically ill patient. It represents a substantial improvement over the previous edition and reflects the remarkable advancement of scientific understanding in this field during the past 13 years.
Purpose: The purpose is to familiarize the reader with an updated understanding of the metabolic changes that accompany critical illness and to suggest clinical approaches of proven or putative benefit in the intensive care setting that have evolved, largely from clinical or laboratory investigations, based on the theoretical framework presented.
Audience: The audience includes all practitioners of nutritional support who serve patients in the intensive care setting, and it is particularly useful for surgeons and intensive care professionals who care for patients during acute injury states.
Features: The book begins with general theoretical considerations, which includes an excellent discussion of mediators that regulate the response to injury, and sets the groundwork for further discussion of intermediate metabolism. The specialized use of particular substrate components, such as glutamine, arginine, omega-3 fatty acids, and short-chain fatty acids, are nicely integrated with a discussion of body defense and reparative functions. The text then considers specific patient assessment and metabolic response characteristics in various clinical settings, such as starvation, trauma, infection, and neoplasia. The book concludes with a discussion of the risks and benefits (including cost) of specific modes of nutritional therapy. As with any text of this magnitude, there is some variability in the quality of the material presented, although the majority of the chapters are well written, present a comprehensive and balanced discussion of the data in the contemporary literature, and are well-referenced. In addition, each chapter concludes with a selected readings section, highlighting several key publications (with a short synopsis of each one) that frame the perspective of the preceding chapter. The pictures, including electron micrographs, are remarkably well reproduced, as are most of the diagrams and figures.
Assessment: This well-conceived textbook will prove to be an excellent teaching and clinical resource to practitioners who wish to provide high-quality and cost-effective metabolic and nutritional support of the critically ill patient.
Walter J. Chwals
This is the second edition of a textbook dealing with surgical nutrition and metabolism, first published in 1983. The editor and many of the 57 contributors are internationally recognized leaders and investigators in the field. The book entails a comprehensive overview of the interaction of metabolic components important in normal physiologic homeostasis and in acute injury states as well as a discussion of nutritional strategies that may be used to support the acute metabolic needs of the critically ill patient. It represents a substantial improvement over the previous edition and reflects the remarkable advancement of scientific understanding in this field during the past 13 years. The purpose is to familiarize the reader with an updated understanding of the metabolic changes that accompany critical illness and to suggest clinical approaches of proven or putative benefit in the intensive care setting that have evolved, largely from clinical or laboratory investigations, based on the theoretical framework presented. The audience includes all practitioners of nutritional support who serve patients in the intensive care setting, and it is particularly useful for surgeons and intensive care professionals who care for patients during acute injury states. The book begins with general theoretical considerations, which includes an excellent discussion of mediators that regulate the response to injury, and sets the groundwork for further discussion of intermediate metabolism. The specialized use of particular substrate components, such as glutamine, arginine, omega-3 fatty acids, and short-chain fatty acids, are nicely integrated with a discussion of body defense and reparative functions.The text then considers specific patient assessment and metabolic response characteristics in various clinical settings, such as starvation, trauma, infection, and neoplasia. The book concludes with a discussion of the risks and benefits (including cost) of specific modes of nutritional therapy. As with any text of this magnitude, there is some variability in the quality of the material presented, although the majority of the chapters are well written, present a comprehensive and balanced discussion of the data in the contemporary literature, and are well-referenced. In addition, each chapter concludes with a selected readings section, highlighting several key publications (with a short synopsis of each one) that frame the perspective of the preceding chapter. The pictures, including electron micrographs, are remarkably well reproduced, as are most of the diagrams and figures. This well-conceived textbook will prove to be an excellent teaching and clinical resource to practitioners who wish to provide high-quality and cost-effective metabolic and nutritional support of the critically ill patient.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780316283908
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 1/1/1996
  • Edition description: REV
  • Edition number: 2
  • Pages: 831

Table of Contents

Preface
Contributing Authors
1 Body Composition 3
2 Intestinal Digestion and Absorption of Nutrients 27
3 Mediators, Hormones, and Control of Metabolism: Regulation of Protein, Carbohydrate, and Lipid Metabolism in Critical Illness 57
4 Energy Metabolism 105
5 Growth Factors 129
6 Protein and Amino Acid Metabolism 159
7 Carbohydrates 203
8 Plasma Lipoproteins and Intravenous Lipid Emulsions 237
9 Vitamins 267
10 Essential Trace Metals: Deficiencies and Requirements 295
11 Two Dozen Syndromes: Pattern Recognition in Diagnosis and Treatment of Fluid and Electrolyte Disorders 307
12 Glutamine as a Metabolic Intermediate 353
13 Intestinal Fuels: Implications for Improvement of Intestinal Growth and Function 385
14 Arginine 411
15 Nutrition in Wound Healing 423
16 Nitric Oxide 443
17 Translocation as It Applies to Metabolism 459
18 Omega-3 and Other Polyunsaturated Fatty Acids: Modulation of the Inflammatory Response 477
19 Nutritional Assessment: The Assessment of the Nutritional and Metabolic Status of Surgical Patients 503
20 Starvation: Metabolic and Physiologic Responses 523
21 Metabolic Response to Trauma and Infection 577
22 Nutrition and Neoplasia 601
23 Changes in Immunologic Function 623
24 Nutritional Support in Hepatic Failure 637
25 Nutritional Management in Acute Renal Failure 653
26 Nutrition of Heart and Lung 667
27 Special Needs of the Pediatric Patient 685
28 Parenteral Nutrition 715
29 Enteral Nutrition 761
30 Critical Evaluation of Results: Cost and Benefit of Nutrition Support 779
Index 799
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