This study aim to compare the impact of fish oil-enriched intravenous lipid emulsion to standard Intravenous lipid emulsion on fatty acid composition and inflammatory response (IL-1β and IL-8 levels) in infants after gastrointestinal surgery. Our hypothesis is the fish oil-enriched intravenous lipid emulsion can improve the fatty acid composition and lower the inflammatory response.
This study is conducted in infants post gastrointestinal surgery that requires parenteral nutrition for at least 3 days. Subjects are classified into two groups. Group 1 received standard IVFE and group 2 received ω-3-enriched IVFE. The type of intravenous standard and omega-3-enriched fat emulsion used in this study are Lipofundin 20% and SMOFlipid 20%, respectively, both administered for three consecutive days after surgery (72 hours) in 1-4 gram/kilogram/day dosing. The inflammatory response (IL-1β and IL-8 levels) and fatty acid composition are checked from blood plasma. Blood examination is done before the surgery and 3 days after the surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
12
Fish oil-enriched intravenous lipid emulsion
MCT/LCT standard intravenous lipid emulsion
Dr. Soetomo General Hospital
Surabaya, Indonesia
Fatty Acids Composition
The percentage of fatty acid consentration from total fatty acids
Time frame: 3 days (before surgery and after surgery)
Inflammatory response
Interleukin 1b and Interleukin 8 levels
Time frame: 3 days (before surgery and after surgery)
Hemoglobin
Hemoglobin value in all subjects
Time frame: 3 days (before surgery and after surgery)
Leukocyte
Leukocyte value in all subjects
Time frame: 3 days (before surgery and after surgery)
C reactive Protein
C Reactive Protein valuel in all subjects
Time frame: 3 days (before surgery and after surgery)
Albumin
Albumin value in all subjects
Time frame: 3 days (before surgery and after surgery)
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