@article{oai:niigata-u.repo.nii.ac.jp:00024327,
 author = {真部, 一彦 and 松原, 要一 and 草間, 昭夫 and 植木, 秀功 and 牧野, 春彦 and 榊原, 清 and 佐藤, 信昭 and 川合, 千尋 and 佐々木, 公一 and 武藤, 輝一},
 issue = {1},
 journal = {新潟医学会雑誌, 新潟医学会雑誌},
 month = {Jan},
 note = {Preoperative nutritional status were examined in fifty patients with esophageal carcinoma, and also energy expenditure was measured. Esophgectomy was performed both laparotomy and thoracotomy in all patients. Thirty-eight patients had no complication and twelve had pulmonary complication postoperatively. Nutritional status was evaluated by various nutritional parameters. Resting energy expenditure（REE）was obtained by the actual measurement i.e. by the indirect calorimetry, while basal energy expenditure（BEE）was predicted by Harris-Benedict formulas. The results were as follows. 1. Patients with pulmonary complications showed poorer nutritional status than patients without pulmonary complications. Result of respiratory function tests of these patients revealed pattern of respiratory disturbance similar to that observed among the patients with obstructive lung disease. 2. Preoperative REE/BEE ratio ranged wide, and negative correlation was seen between REE/BEE ratio and %Ideal body weight. 3. REE increased by approximatery 30～60% postoperatively among the patients without complications, and in returned to the preoperative value in 2～3 weeks. 4. The patients with pulmonary complications showed elevated REE, however the extent and duration of the elevation were very different in each patient. It was suggested that BEE underestimates energy expenditure in severely emaciated patients. When complication occured, it was difficult to predict the change of energy expenditure. Therefore, it is important to determine the amount of required energy by actual measurement of REE, especially in patients who are already malnourished preoperatively and/or patients with severe postoperative complications.},
 pages = {17--23},
 title = {4) 外科におけるIntensive Care栄養管理についての一考察(シンポジウム 各科領域におけるIntensive Care, 第418回新潟医学会)},
 volume = {101},
 year = {1987}
}