Iwafuchi M
Nihon Geka Gakkai Zasshi. 1984 Sep;85(9):1174-8.
Scientific meetings on surgical metabolism and nutrition in pediatric patients have been held 13 times, once a year since 1971 as an evening session of the annual meetings of Japanese Society of Pediatric Surgeons. The initial meeting was established by several pediatric surgeons who were interested in surgical metabolism and nutrition, for the purpose of making progress and development in this particular field. At these meetings, many papers dealing with different problems on transfusion including total parenteral nutrition, on tube feeding nutrition including elemental diet, and on surgical metabolism related to adrenocortical response to surgical stress have been up to date presented and discussed. Problems on total parenteral nutrition in pediatric patients were picked up 3 times, and its indication, nutritional compositions including minerals and vitamins in addition to carbohydrates, amino acids and fat emulsions, managements and complications were discussed. At present, this method has been proved very important, necessary and safe in treating pediatric patients with disorders in the alimentary tract. Elemental diet is known to be more advantageous, namely more physiological and safer, compared with total parenteral nutrition. Incomplete compositions and high osmotic pressure of this nutrients are, however, disadvantageous to be improved in the future.
关于小儿患者外科代谢与营养的科学会议已举办了13次，自1971年起每年举办一次，作为日本小儿外科医师学会年会的晚间会议。最初的会议由几位对外科代谢与营养感兴趣的小儿外科医师发起，目的是在这一特定领域取得进展和发展。在这些会议上，许多涉及输血（包括全胃肠外营养）、管饲营养（包括要素饮食）以及与肾上腺皮质对手术应激反应相关的外科代谢等不同问题的论文不断被提交和讨论。小儿患者全胃肠外营养问题被提及了3次，讨论了其适应证、除碳水化合物、氨基酸和脂肪乳剂外的矿物质和维生素等营养成分、管理及并发症。目前，这种方法在治疗小儿消化道疾病患者方面已被证明非常重要、必要且安全。与全胃肠外营养相比，要素饮食已知更具优势，即更符合生理且更安全。然而，这种营养物质的成分不完整和高渗透压在未来有待改进。
