Enteral Nutrition in the Treatment of Severe Acute Pancreatitis

Abstract

Development, septic complication, and accentuated catabolism in patients with AP were the reasons that motivated our study. Material and method: We studied prospectively and retrospectively 186 cases of severe AP in patients operated between 1998 and 2005 in Surgery Clinic (I-III) of Brasov County Hospital. Results: Within the group of 186 patients in 72 the treatment of choice was laparostomy in association with antibiotics and in 54 cases enteral nutrition through jejunostomy was added. The cases taken into study were divided into two groups - group A: 32 patients with enteral feeding by jejunostomy and group B: 18 patients without enteral feeding. Clinical and paraclinical methods were performed for the evaluation. On feeding jejunostomy (Witzel type) was first administrated with normal saline solution (20ml/h) and then Survimed after a minimum of 24 h, starting with 20-25ml/h reaching 100ml/h. Antibiotic therapy - imipenem or quinolone was used. Conclusions: enteral nutrition ensures rehabilitation of intestinal physiology, prevents bacterial translocation, is cost-effective, and improves life quality.