Yıl: 2021 Cilt: 43 Sayı: 2 Sayfa Aralığı: 189 - 193 Metin Dili: İngilizce DOI: 10.14744/etd.2020.88120 İndeks Tarihi: 05-02-2022

The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones

Öz:
Objective: Enteral nutrition products containing amino acids of glutamine and arginine were administered to patients to beoperated under general anesthesia and the response of stress hormones after surgery was evaluated after surgery. The aimof this study is to examine the effect of enteral nutrition, which is provided 3 days before the surgery and includes glutamineand arginine amino acids, on the stress hormones of the patients. Materials and Methods: In this study, a total of 60 patients were included and randomly assigned to three different groups(n = 20): glutamine group, arginine group, and control group. The patients who were above 18, were classified as ASA 1–2,and were not pregnant were recruited in this study. All groups except the control group were administered with glutamine(3*2) and arginine (2*1) 3 days before the study was conducted. Cortisol, insulin, insulin resistance, and glucose levels weremeasured at the 3rd and 24th hour before and after the surgery. All of the participants underwent laparoscopic cholecystec tomy in the general surgery clinic department. Results: Although significant results were obtained regarding the insulin and insulin drain groups in the glutamine and argi nine groups compared with the control group, no significant results were found between the glutamine and arginine groups.Among the three groups, significant results were obtained from the arginine group. When all groups were compared, thehospital stay of the patients in the arginine group was shorter than the others. Moreover, the insulin resistance and cortisollevels in the arginine group were slightly increased. Conclusion: Overall, it was observed that arginine and glutamine amino acids administered before surgery can reduce thesurgical stress levels of patients.
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  • 1. Civan A, Özdemir İ, Gencer Y, Durmaz M. Exercise and Stress Hormones. Turkish J Sports Scien 2018; 2(1): 1–14.
  • 2. Özkan Y. Anxiety, depression, problem solving and stress management in patients with ankylosing spondylitis. Meandros Med Dent J 2018: 19(1): 57–63.
  • 3. Seaward, Brian Luke. Managing stress. Jones & Bartlett Learning, 2017.
  • 4. Lee WC, Guntur AR, Long F, Rosen CJ. Energy Metabolism of the Osteoblast: Implications for Osteoporosis. Endocr Rev 2017; 38(3): 255–66.
  • 5. Rotovnik Kozjek N, Kompan L, Žagar T, Mrevlje Ž. Influence of enteral glutamine on inflammatory and hormonal response in patients with rectal cancer during preoperative radiochemotherapy. Eur J Clin Nutr 2017; 71(5): 671–3.
  • 6. Luiking YC, Poeze M, Deutz NE. Arginine infusion in patients with septic shock increases nitric oxide production without haemodynamic instability. Clin Sci (Lond) 2015; 128(1): 57–67.
  • 7. El-Shimi MS, Awad HA, Abdelwahed MA, Mohamed MH, Khafagy SM, Saleh G. Enteral L-Arginine and Glutamine Supplementation for Prevention of NEC in Preterm Neonates. Int J Pediatr 2015; 2015: 856091.
  • 8. Visser E, Marsman M, van Rossum PSN, Cheong E, Al-Naimi K, van Klei WA, et al. Postoperative pain management after esophagectomy: a systematic review and meta-analysis. Dis Esophagus 2017; 30(10): 1–11.
  • 9. Picard M, McEwen BS, Epel ES, Sandi C. An energetic view of stress: Focus on mitochondria. Front Neuroendocrinol 2018; 49: 72–85.
  • 10. Hattori K, Ishikawa H, Sakauchi C, Takayanagi S, Naguro I, Ichijo H. Cold stress-induced ferroptosis involves the ASK1-p38 pathway. EMBO Rep 2017; 18(11): 2067–78.
  • 11. Selye H. The general adaptation syndrome and the diseases of adaptation. J Clin Endocrinol Metab 1946; 6(2): 117–230.
  • 12. Bieliauskas, Linas A. Stress and its relationship to health and illness. Routledge, 2019.
  • 13. Raghav A, Ahmad J, Naseem I. Chronic unpredictable environmental stress impair biochemical and physiological homeostasis: Role in diabetes mellitus. Diabetes Metab Syndr 2019; 13(2): 1021–30.
  • 14. Sher LD, Geddie H, Olivier L, Cairns M, Truter N, Beselaar L, et al. Chronic stress and endothelial dysfunction: mechanisms, experimental challenges, and the way ahead. Am J Physiol Heart Circ Physiol 2020; 319(2): H488–506.
APA PİRHAN Y, Taşova V (2021). The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones. , 189 - 193. 10.14744/etd.2020.88120
Chicago PİRHAN Yavuz,Taşova Volkan The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones. (2021): 189 - 193. 10.14744/etd.2020.88120
MLA PİRHAN Yavuz,Taşova Volkan The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones. , 2021, ss.189 - 193. 10.14744/etd.2020.88120
AMA PİRHAN Y,Taşova V The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones. . 2021; 189 - 193. 10.14744/etd.2020.88120
Vancouver PİRHAN Y,Taşova V The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones. . 2021; 189 - 193. 10.14744/etd.2020.88120
IEEE PİRHAN Y,Taşova V "The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones." , ss.189 - 193, 2021. 10.14744/etd.2020.88120
ISNAD PİRHAN, Yavuz - Taşova, Volkan. "The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones". (2021), 189-193. https://doi.org/10.14744/etd.2020.88120
APA PİRHAN Y, Taşova V (2021). The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones. Erciyes Medical Journal, 43(2), 189 - 193. 10.14744/etd.2020.88120
Chicago PİRHAN Yavuz,Taşova Volkan The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones. Erciyes Medical Journal 43, no.2 (2021): 189 - 193. 10.14744/etd.2020.88120
MLA PİRHAN Yavuz,Taşova Volkan The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones. Erciyes Medical Journal, vol.43, no.2, 2021, ss.189 - 193. 10.14744/etd.2020.88120
AMA PİRHAN Y,Taşova V The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones. Erciyes Medical Journal. 2021; 43(2): 189 - 193. 10.14744/etd.2020.88120
Vancouver PİRHAN Y,Taşova V The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones. Erciyes Medical Journal. 2021; 43(2): 189 - 193. 10.14744/etd.2020.88120
IEEE PİRHAN Y,Taşova V "The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones." Erciyes Medical Journal, 43, ss.189 - 193, 2021. 10.14744/etd.2020.88120
ISNAD PİRHAN, Yavuz - Taşova, Volkan. "The Effects of Arginine and Glutamine Used BeforeLaparoscopic Cholecystectomy on PostoperativeStress Hormones". Erciyes Medical Journal 43/2 (2021), 189-193. https://doi.org/10.14744/etd.2020.88120