[in Japanese]

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[in Japanese]

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[in Japanese]

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[in Japanese]

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[in Japanese]

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[in Japanese]

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[Aim] The present study was carried out to clarify factors that could predict early death within 30 days following percutaneous endoscopic gastrostomy (PEG) procedure.
[Patients and Methods] The subjects consisted of 170 patients who underwent a PEG procedure from May 2003 to December 2005. We analyzed several factors, age, preoperative serum albumin value, transthyretin value and a total lymphocyte count. We tried to determine early prognostic factors using chi-square test and multivariate analysis by a Cox proportion hazard model.
[Results] The 30-day mortality rate in our subjects was 10.6% (18 of 170). The 30-day mortality rate of the patients with serum albumin value less than 2.5g/dl was significantly higher than that of other patients. Especially, in patients over 90 years old, this rate was very high with 50%. Multivariate analysis revealed that serum albumin value was a most reliable predictive factor for early mortality.
[Conclusion] The serum albumin value may be useful for predicting factor of early death following PEG. It seemed that PEG should be performed carefully to the patients whose serum albumin value was less than 2.5g/dl.

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Background/Aims: Controversy remains regarding fat emulsion administration after hepatic resection with liver cirrhosis. We studied the feasibility of continuous infusion of the fat emulsion with amino acids and glucose solution on lipid metabolism early after hepatic resection.
Materials and Methods: Twenty three patients received fat-containing total parenteral nutrition (TPN) were divided into the two groups, patients with mild liver disorder defined with under 15% of ICG test and patients with moderate liver disorder with over 15%. Postoperative changes in blood biochemical tests including lipids and fatty acids were compared between the two groups.
Results and Discussion: No difference in postoperative complication was observed. Blood glucose level increased but total cholesterol and phospholipids levels decreased under the normal range after the operation. Blood triglyceride, free fatty acids fractions, and phospholipid levels did not indicate discrepancy between the two groups indicating that continuous infusion of the lipid emulsion was metabolized sufficiently.
Conclusion: No disadvantage was observed with continuous infusion of lipid emulsion early after hepatectomy.

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