Enteral nutrition in treatment of severe acute pancreatitis

查看全文 作　　者：Dun Shi;Cheng-Wu Zhang;Jin-Song Jiang;Zhi-Jie Xie;Shou-Chun Zou From the Department of General Surgery, Zhejiang Provincial People’s Hospital, Hangzhou 310014, China

出　　处：《Hepatobiliary & Pancreatic Diseases International》索引2002年第1卷第1期,共4页

摘　　要：Objective: To observe the role and the timing of EN inthe treatment of patients with severe acute pancreatitis(SAP).Methods: Eleven patients with severe acute pancreatitisunderwent systemic nutrition support were studied.EN was given through jejunostomy tube (or Beng-mark tube) after a period of PN maintenance. ENstarted when serum and urine amylase activity re-turned to normal with regular peristaltic sound, defe-cation or break wind. The sequence of preparationwas as follows: saline glucose→chemically defined di-et→polymeric diet→normal diet.Results: In all the patients, none died. The rate of latecomplications was lower, and the levels of serum albu-min and transferritin significantly increased in thepost-EN period as compared with the pre-EN period,although the count of lymphocytes was less changed.Conclusions: Nutritional support should be trans-formed from PN to EN as early as possible during thetreatment of patients with severe acute pancreatitis. ENcould not only continue sufficient nutritional support,but also avoid the unfavorable effects of long-timePN, thus reducing complications as well as mortality. 关键词：ENTERAL NUTRITION SEVERE acute PANCREATITIS PARENTERAL NUTRITION PROGNOSIS

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Enteral nutrition in treatment of severe acute pancreatitis

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