000			03085cam a2200349 a 4500
003			EG-GiCUC
005			20250223031457.0
008			160420s2015 ua d f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.19.01.Ph.D.2015.Mo.E
100	0		_aMohammed Abdelfattah Abdelwadod Mohammed
245	1	4	_aThe effect of omega 3 enriched parenteral nutrition regimen on the postoperative outcome of surgical cancer patients / _cMohammed A. Fattah A. Wadod Mohammed ; Supervised Wafa Taha Salem , Samah Aly Loutfy , Wael Ahmed Ibrahim
246	1	5	_aتأثير نظام التغذية الوريدية المقوى بأوميجا 3 على نتائج مابعد الجراحة لمرضى السرطان الخاضعين للعمليات الجراحية
260			_aCairo : _bMohammed Abdelfattah Abdelwadod Mohammed , _c2015
300			_a130 P. : _bcharts ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - National Cancer Institute - Department of Anaesthesia and Pain Relief
520			_aMalnutrition in cancer patients who are candidates for major surgery is considered a problem because it represents a risk factor for postoperative morbidity and mortality. Administration of standard parenteral diets supplemented with omega-3 (} - 3) fatty acids (immunonutrition) modulates immune and inflammatory responses and gut function in elective surgical patients, immunonutrition is associated with a reduction in infectious complication rates and a shorter length of hospital stay. The present study included 40 patients divided to two groups, group A: including 20 patients receiving the traditional intralipid emulsion, and group B: including 20patients receiving the new omega 3 SMO Flipid 20% lipid emulsion. The subjective global assessment method of nutrition (class B and C) is used as screening test to select patients in the study which takes into consideration body weight, dietary intake, GIT symptoms. In all patients parenteral nutrition support was started at day 1 to provide 25 - 30 kcal/kg/d and 1 - 1.5 g protein/kg/d, at least for 7 days post operative. 30 - 40% of non protein caloric intake was provided from lipid emulsions. All patients received perioperative fluids, electrolytes, trace elements, micronutrients, prophylactic antibiotics, and deep venous thrombosis and stress ulcer prophylaxis as clinically prescribed. Parameters measured in the study were leukotriens B5 (LTB5) as anti - inflammatory mediator which were quantified using ELISA technique. Other parameter measured were weights, serum Na, K, Ca, Mg and kidney functions - urea and creatinine
530			_aIssued also as CD
653		4	_aEnriched parenteral
653		4	_aNutrition regimen
653		4	_aOmega 3
700	0		_aSamah Aly Loutfy , _eSupervisor
700	0		_aWael Ahmed Ibrahim , _eSupervisor
700	0		_aWafa Taha Salem , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c56094 _d56094