Nutrition for Special Groups

Nutrition for Special Groups 3(3+0)

Lesson 41 : Surgery

The Stress Response to Trauma and Surgery

Endocrine gland	Hormones	Change in secretion
Anterior pituitary	ACTH	Increases
	Growth hormone	Increases
	TSH	May increase or decrease
	FSH and LH	May increase or decrease
Posterior pituitary	AVP	Increases
Adrenal cortex	Cortisol	Increases
	Aldosterone	Increases
Pancreas	Insulin	Often decreases
	Glucagon	Usually small increases
Thyroid	Thyroxine, tri‐iodothyronine	Decrease

Table: Principal hormonal responses to surgery. ACTH, adreno‐corticotrophic hormone (corticotrophin); AVP, arginine vasopressin; FSH, follicle‐stimulating hormone; LH, luteinizing hormone; TSH, thyroid‐stimulating hormone. Based on Desborough and Hall