Early Semielemental Diet via Nasogastric Tube Feeding in Severe Acute Pancreatitis: Preliminary Report

Authors

  • Sirikan Yamada Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
  • Baramee Boonlert Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand

Keywords:

Severe acute pancreatitis, Semielemental diet, Nasogastric tube feeding

Abstract

Objective: The objective was to study if early semielemental diet feeding is safe and effective in improving the systemic inflammatory response in severe acute pancreatitis.

Materials and Methods: A trial of nutritional support in patients with severe acute pancreatitis in the intensive care unit, Department of Surgery, Chiang Mai University Hospital, from October 2003 to December 2004 was conducted and analyzed. Acute pancreatitis was defined by clinical symptoms and signs and confirmed by serum amylase, urine amylase, and C- reactive protein, and then classified as severe acute pancreatitis by Ranson and APACHE II scores. Seven patients with severe acute pancreatitis were randomized into two groups. The conventional group was given total parenteral nutrition (TPN) and the interventional group was given partial parenteral nutrition (PPN), with early semielemental diet feeding via nasogastric tube when bowel function was present.

Results: Four of 7 patients were given TPN alone. Three patients were given PPN with early semi elemental diet until recovery. Etiologies of pancreatitis included biliary in 1 case and alcoholic in 6 cases. The Ranson and APACHE II scores were similar in both groups. Mean length of stay was 13.25 days in the conventional group, and 18 days in the interventional group. There were no serious complications or systemic inflammatory response syndrome in either group. One patient in the conventional group developed pancreatic pseudocyst with spontaneous regression. Another patient in the interventional group developed the same problem and was successfully managed by drainage procedure.

Conclusion: This study supported the safety and effectiveness of nutritional management for patients with severe acute pancreatitis by early semielemental enteral feeding.

References

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Published

2006-09-29

How to Cite

1.
Yamada S, Boonlert B. Early Semielemental Diet via Nasogastric Tube Feeding in Severe Acute Pancreatitis: Preliminary Report. Thai J Surg [Internet]. 2006 Sep. 29 [cited 2024 Jul. 18];27(3):125-30. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/242007

Issue

Vol. 27 No. 3 (2006): July - September

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.