[Artificial feeding]

Abstract

An infusion rate above 3 g/kg BW per day glucose leads to a reduction of oxidative metabolism of the energy sources glucose, free fatty acids, and exogenous triglycerides. Simultaneously splanchnic lipogenesis is stimulated and visceral protein utilization inhibited. During the 1st to 4th day after trauma Xylitol (3 g/kg BW per day) is superior to glucose with regard to oxidative metabolism of energy sources and stimulation of visceral protein synthesis. A comparable metabolic effect can be achieved by a glucose/xylitol mixture (1:1); (6 g/kg BW per day) during long-term nutrition.