By J. E. Fischer M.D. (auth.), J. M. Greep, Peter B. Soeters, R. I. C. Wesdorp, C. W. R. Phaf, Josef E. Fischer M.D. (eds.)

J. E. Fischer, M.D. Professor Greep, women and gents. it's a nice excitement for me and the contributors to be current at this overseas assembly of Parenteral Nutri­ tion. This assembly do not need been attainable 5 years in the past. at the moment we have been nonetheless arguing approximately primary vs. peripheral routes, efficacy of the tech­ nique, and nonetheless getting familiar with our skill to help sufferers nutri­ tionally. in the final 5 years those discussions, which look virtually futile looking back, were set aside. either strategies, we all know how, paintings particularly good and feature their very own symptoms. Having develop into ok with the method, it truly is now time to go into the second one part of parenteral meals, and that's the differentiation of the process for the good thing about diverse sufferers. Over the subsequent days we'll be discussing a number of difficulties which this day are important to the full topic of parenteral foodstuff. Is a fats calorie kind of like a carbo­ hydrate calorie? what's the impression on protein metabolism of the fats calorie rather than the carbohydrate calorie? Are they similar? Are'there occasions during which one is more desirable to the opposite? possibly we are going to discover the following day within the panel.

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Excess might have an inhibiting effect (60). Glycine is necessary for hemosynthesis and for detoxication processes, among others. It is 'essential' for uremic patients. Excess as a single non-essential nitrogen source might cause a certain degree of imbalance (especially in newborn babies) (52). Alanine and Proline are able to correct a negative nitrogen balance and may even create a very good positive balance. Both amino acids are not readily synthesized. Absence of proline causes an inadequate nitrogen balance (23, 35).

Wretlind, A, Assessment of Patient Requirements. In: Lee, H. ), Parenteral Nutrition in Acute Metabolic Illness, London, 1974, pp. 353-383. 60. WretIind, A, Amino acids. In: Lee, H. ), Parenteral Nutrition in Acute Metabolic Illness, London, 1974, pp. 53-76. 61. IJdenberg, F. , Sporenelementen voor toevoegen aan voedingsinfusen. In: Mededelingen van de Nederlandse Vereniging van Ziekenhuisapothekers (Communications of the Dutch Hospital Pharmacists), 33, March 1976. 62. Zollner, N. and Heuckenkamp, P.

52. 53. 54. 55. 56. 57. , April 20, 1963. Holt, L. , Protein and Amino Acid Requirements in Eearly Life, New York, 1960. Jiirgens, P. , Die Bedeutung nichtessentieller Aminosiiuren fUr den Stickstoffhaushalt des Menschen unter parenteraler Erniihrung. Klin. Wschr. 46: 131 (1968). Jiirgens, P. , Experimental results of parenteral nutrition with amino acids. In: Wilkinson, A. ), Parenteral Nutrition, Edinburgh, pp. 47. , and Field, J. , The effect of ethanol on hepatic gluconeogenesis. Diabetes 16: 528 (1967).

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