Effect Of Enteral Nutrition On The Course Of Acute Pancreatitis

ObjectiveTo investigate the effect of entered nutrition on the course of acute pancreatitis (AP) , especially on the severe acute pancreatitis (SAP).MethodsTo retrospective analysis of 118 AP patients from August 2001 to November 2004, 77 cases were male and 41 cases were female, age ranged from 14 to 65 years old. Among them, 104 patients were mild to moderate AP (mild acute pancrentitis, MAP) 14 patients were SAP ( severe acute pancrentitis, SAP) , (1) Routine treatment; vital sign monitor, gastrointestinal decompression, fasting, supply blood volume actively, maintain water and electrolyte balance, analgesi-a, inhibit gastric acid secretion and pancreatin activity, for the allergic cases to carry through anti -allergy treatment, biliary AP with antibiotic treatment. For the SAP patients with somatostatin and thymic peptide. (2) Nutrition support; For mild AP, after 48 — 72 hours, when the pain relieved, oral nutrition intake began. For moderate and nonbiliary AP, enteral nutrition (EN) began, Viz. placed nasal - jejunum tube below Treitz ligament by endoscope, pumped the nutrition into jejunum continuously. For the severe biliary AP or SAP, total par-enteral nutrition ( TPN) was the first choice, when the inflammation was controlled , symptoms was stabilized (about 4-7 days) , EN treatment was essential.