Skip to main content
SpringerLink
Log in

Hunger und Postaggressions-/ Stressstoffwechsel

  • Chapter
Praxishandbuch klinische Ernährung und Infusionstherapie

Zusammenfassung

Die Kenntnis und das Verständnis des Substratflusses und somit des Stoffwechsels insgesamt sowie seiner Beziehung und Interaktionen auf zellulärer und Interorganebene stellt eine Grundvoraussetzung für eine rationale Ernährungstherapie in den verschiedensten Krankheitssituationen dar. Neben der Resorptionsphase nach Substratzufuhr sind Grundkenntnisse des Hungerstoffwechsels mit seinen Adaptationsmechanismen, vor allem aber die Grundlagen des sog. Postaggressionstoffwechsels für den klinisch tätigen Arzt von elementarer Bedeutung um eine rationale der individuellen Situation angepasste Ernährungstherapie zu betreiben.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Alberti KGMM, Batstone GF, Johnston DG (1977) Hormonal changes in trauma: the critically ill. Churchill Levingstone, Edinburgh London New York, pp 225–255

    Google Scholar 

  2. Bessey PQ, Watters JM, Aoki TT (1984) Combined hormonal infusion simulates the metabolic response to injury. Ann Surg 200:264–281

    Article  PubMed  CAS  Google Scholar 

  3. Bürger M, Grauhan M (1927) Der postoperative Eiweißzerfall, sein Nachweis und seine Bedeutung. Klin Wochenschr 6:1716–1720

    Article  Google Scholar 

  4. Cannon WB (1939) The wisdom of the body. Norton, New York

    Google Scholar 

  5. Cerra FB (1987) Hypermetabolism, organ failure and metabolic support. Surgery 101:1–14

    PubMed  CAS  Google Scholar 

  6. Cuthbertson DP (1932) Observations on the disturbance of metabolism produced by injury of the limbs. Q J Med 25:233–246

    Google Scholar 

  7. Dahn MS, Lange P (1982) Hormonal changes and their influence on metabolism and nutrition in the critically ill. Intensive Care Med 8: 209–213

    Article  PubMed  CAS  Google Scholar 

  8. DeFronzo RA, Tobin JD, Andres R (1979) Glucose clamp techniques method for quantifying insulin secretion and resistance. Am J Physiol 237:E214–E223

    PubMed  CAS  Google Scholar 

  9. Elliot M, Alberti KGMM (1983) The hormonal and metabolic response to surgery and trauma. New aspects of clinical nutrition. z,z, pp 247–270

    Google Scholar 

  10. Feling P, Owen OE, Wahren J, Cahill GF (1969) Amino acid metabolism during prolonged starvation. J Clin Invest 48:584–594

    Article  Google Scholar 

  11. Lavery GG, Paul G (2000) The metabolic and nutritional response to critical illness. Curr Opin Crit Care 6:233–238

    Article  PubMed  Google Scholar 

  12. Girgensohn H (1973) Der Hungertod in Stalingrad. Die Zeit v.02.02.1973

    Google Scholar 

  13. Hartl W, Jauch KW, Kimmig R et al. (1988) Minor role of ketone bodies in energy metabolism by skeletal muscle during the postoperative course. Ann Surg z:z-z

    Google Scholar 

  14. Hasselgren PO, Fischer JE (2001) Muscle cachexia; current concepts of intracellular mechanisms and molecular regulation. Ann Surg 233:9–17

    Article  PubMed  CAS  Google Scholar 

  15. Herrmann A, Jauch KW (1998) Methoden zur Bestimmung von postoperativen Stickstoffverlusten. Akt Ernährungsmed 23:56–62

    Google Scholar 

  16. Hill AG, Hill GL (1998) Metabolie response to severe injury. Br J Surg 85:884–890

    Article  PubMed  CAS  Google Scholar 

  17. Jahoor F, Desai M, Herndorn DN, Wolfe RR (1988) Dynamics of the protein metabolic response to burn injury. Metabolism 37:330–337

    Article  PubMed  CAS  Google Scholar 

  18. Jauch KW (1988) Untersuchungen zur postoperativen Insulinresistenz und der Beeinflussung durch das Kallikrein-Kinin-System. Habilitationsschrift, Ludwig-Maximilians-Universität München

    Google Scholar 

  19. Jauch KW, Günther B, Wicklmayr M et al. (1984) Untersuchungen zur postoperativen Insulinresistenz von Lipolyse und Ketogenese mit Hilfe der Glukose-Clamp-Technik. Infusionstherapie 11:271–274

    CAS  Google Scholar 

  20. Jeevanandam M, Young DH, Schiller WR (1989) Endogenous protein-synthesis efficiency in trauma victims. Metabolism 38:967

    Article  PubMed  CAS  Google Scholar 

  21. Michie HR (1966) Metabolism of sepsis and multiple organ failure. World J Surg 20:460–464

    Article  Google Scholar 

  22. Mizock BA (1995) Alterations in carbohydrate metabolism during stress: a review of the literature. Am J Med 98:75–84

    Article  PubMed  CAS  Google Scholar 

  23. Owen OE, Feling P, Morgan AP et al. (1969) Liver and kidney metabolism during prolonged starvation. J Clin Invest 48:574–583

    Article  PubMed  CAS  Google Scholar 

  24. Plank LD, Connolly AB, Hill GL (1998) Sequential changes in the metabolic response in severly septic patients during the first 23 days after the onset of peritonitis. Ann Surg 228:146–158

    Article  PubMed  CAS  Google Scholar 

  25. Plank LD, Hill GL (2000) Sequential metabolic changes following induction of systemic inflammatory response in patients with severe sepsis or major blunt trauma. World J Surg 24:630–638

    Article  PubMed  CAS  Google Scholar 

  26. Shaw JHF, Klein S, Wolfe RR (1985) Assessment of alanine, urea and glucose interrelationships in normal subjects and in patients with sepsis with stable isotopic tracers. Surgery 97:557–567

    PubMed  CAS  Google Scholar 

  27. Shaw JHF, Koea JB (1993) Metabolic basis für management of the septic surgical patient. World J Surg 17:154–164

    Article  PubMed  CAS  Google Scholar 

  28. Shaw JHF, Wildbore M, Wolfe RR (1987) Whole body protein kinetics in severely septic patients. Ann Surg 205:288

    Article  PubMed  CAS  Google Scholar 

  29. Streat JS, Beddoe AH, Hill GI (1987) Aggressive nutritional support does not prevent protein loss despite fat gain in septic intensive care patients. J Trauma 26:262–266

    Article  Google Scholar 

  30. Souba WW (1994) Cytokine control of nutrition and metabolism in critical illness. Curr Probl Surg 31:579

    Article  Google Scholar 

  31. Thorell A, Efendic S, Gutniak M et al. (1994) Insulin resistance after abdominal surgery. Br J Surg 81:59

    Article  PubMed  CAS  Google Scholar 

  32. Voerman HJ, Groeneveld ABJ, DeBoer H et al. (1983) Time course and variability of the endocrine and metabolic response to severe sepsis. Surgery 114:951–959

    Google Scholar 

  33. Watters JM, Bessey PQ, Dinarello CA, Wolff SM, Wilmore DW (1986) Both inflammatory and endocrine mediators stimulate host responses to sepsis. Arch Surg 121:179

    Article  PubMed  CAS  Google Scholar 

  34. Winick M (ed) (1979) Hunger disease studies by the Jewish physicians in the Warsaw Ghetto. Wiley, New York

    Google Scholar 

  35. Wolfe RR, Goodenough RD, Burke JF, Wolfe MH (1983) Response of protein and urea kinetics in burn patients to different levels of protein intake. Ann Surg 197:163–171

    Article  PubMed  CAS  Google Scholar 

  36. Wolfe RR, Herndorf DN, Jahoor F et al. (1987) Effect of severe burn injury on substrate cycling by glucose and fatty acids. N Engl J Med 317:403

    Article  PubMed  CAS  Google Scholar 

  37. Wolfe RR, Martinin WZ (2000) Changes in intermediary metabolism in severe surgical illness. World J Surg 24:639–647

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. K.-W. Jauch
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Medizinische Klinik II, Zentrum der Inneren Medizin Gastroenterologie/Klinische Ernährung, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland

    J. Stein

  2. Chirurgische Klinik mit Poliklinik der LMU München-Großhadern, Marchioninistraße 15, 81377, München, Deutschland

    K.-W. Jauch

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Jauch, KW. (2003). Hunger und Postaggressions-/ Stressstoffwechsel. In: Stein, J., Jauch, KW. (eds) Praxishandbuch klinische Ernährung und Infusionstherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55896-2_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-55896-2_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62625-8

  • Online ISBN: 978-3-642-55896-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation