Naslov
Impact of early enteral nutrition on the nutritional status and course of disease in patients with acute pancreatitis

Autori
Holik, Dubravka ; Miškulin, Maja ; Abičić, Ivan ; Brkić, Sandra ; Kordić, Ivana ; Tot, Ana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
9th ISABS Conference on Forensic, Anthropologic Genetics and Mayo Clinic Lectures in Individualized Medicine / Kayser, Manfred ; Ördög, Tamás ; Vuk-Pavlović, Stanimir ; Primorac, Dragan ; Schanfield, Moses - Zagreb : International Society for Applied Biological Sciences (ISABS), 2015, 212-212

ISBN
978-953-57695-1-4

Skup
9th ISABS Conference on Forensic, Anthropologic Genetics and Mayo Clinic Lectures in Individualized Medicine

Mjesto i datum
Bol, Hrvatska, 22.06.2015. - 26.06.2015

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
acute pancreatitis; early enteral nutrition; total parenteral nutrition

Sažetak
Background: In patients with acute pancreatitis (AP), nutritional support is required if normal food cannot be tolerated within several days. Aim: To compare the effects of early enteral nutrition (EN) and total parenteral nutrition (TPN) in patients with acute pancreatitis. Methods: 35 patients with mild acute pancreatitis were enrolled in the study. 30 patients who completed the study were divided in two groups according to the type of nutritional support. Patients in EN group (n=10) were given Alitraq, Abbott, 25-30 kcal/kg, via nasojejunal tube together with general supportive treatment. The patients in TPN group (n=20) were given total parenteral nutrition in continuous infusion through central venous catheter. Results: Mean values of CRP on day 7th of the treatment in the EN group were 101.5 and in the TPN group 142.6 (p=0.12). A decrease in the BMI was higher in the TPN group when compared to start values (7.41% ; p = 0.06), whereas in the EN group after initial decrease it approached the baseline values. The values of serum calcium in the EN group and TPN group were 2.11+/-0.11 mmol/L and 2.06+/-0.16 mmol/L respectively (p=0.26). An increase in the serum albumin levels according to baseline was 6.5% in the EN group and 0.2% in the TPN group (p=0.06). A length of hospitalization was in average 2 days longer in the TPN group. An incidence of complications was similar in both groups. Conclusions: EN was proven as equally efficient and safe as was TPN in the course of treatment of acute pancreatitis.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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