Liver biochemical and histological changes with graded amounts of total parenteral nutrition

Arch Surg. 1990 Apr;125(4):447-50. doi: 10.1001/archsurg.1990.01410160033006.

Abstract

We sought to determine whether an excess in energy intake as total parenteral nutrition would result in liver biochemical and histological changes in the presence of a functional gastrointestinal tract. Three groups of rats were given amounts of total parenteral nutrition that provided either 25% (total parenteral nutrition-25), 100% (total parenteral nutrition-100), or 200% (total parenteral nutrition-200) of a rat's energy requirements. Rat chow and water were available ad libitum. Food intake decreased in proportion to the amount of total parenteral nutrition infused; it ceased with total parenteral nutrition-200. Liver glycogen and triglyceride concentrations were higher with high energy intake (total parenteral nutrition-100 and total parenteral nutrition-200), while total liver nitrogen concentrations remained unchanged. No cholestasis, inflammation, or fibrosis was seen histologically. Fatty vacuoles were increased with total parenteral nutrition (more so with total parenteral nutrition-200) but a prompt return to normal liver features was observed after cessation of total parenteral nutrition and the resumption of normal food intake.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Eating
  • Energy Intake
  • Glycogen / metabolism
  • Liver / metabolism*
  • Liver / pathology
  • Male
  • Nitrogen / metabolism
  • Nutritional Requirements
  • Parenteral Nutrition, Total*
  • Rats
  • Rats, Inbred F344
  • Triglycerides / metabolism

Substances

  • Triglycerides
  • Glycogen
  • Nitrogen