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Abstract The field of nutrition support therapy has undergone a transformation since its conception. Originally, artificial feeding was recommended as a mean of providing energy, protein, and essential micronutrients to offset muscle wasting and prevent starvation-induced immune depletion. The dietary components such as glutamine, arginine, ω-3 fatty acids, ribonucleic acid, also influence immunologic response mechanisms when added to standard TPN solutions or enteral nutrition. This study was done for evaluation of patients receiving total parental nutrition and patients receiving total parental nutrition with early entral nutrition through their effect on biliary lipid concentrations and immune response. |