Assessment of gastrointestinal dysfunction in selection of an effective method of nutritional support in patients with acute pancreatitis
Journal Title: Медичні перспективи - Year 2018, Vol 23, Issue 2
Abstract
Potential mortality in acute pancreatitis (AP) is 5%. Patients with AP represent II type of intestinal insufficiency, which occurs on the background of dyspeptic syndrome and increased intra-abdominal pressure (IAP). IAP is a differentiated indicator. With the increase of IAP more than 10 mm Hg, intra-abdominal hypertension (IAH) arises. Increasing IAP to this level is considered as safe. Monitoring of IAP level allows to achieve better clinical results. Totally 47 patients with acute pancreatitis were examined. Depending on the function of the gastrointestinal tract and the selected type of starting nutritional support (NS), they were divided into 2 groups. The first group consisted of IAH patients of I degree and dyspeptic syndrome who underwent parenteral nutrition (PN) with 3-component compounds begun on the 2nd day of disease and after restoration of gastrointestinal tract function a late enteral feeding (LEF) was performed. In the second group, patients with AP were initially diagnosed with elevated IAP at a safe level and dyspeptic syndrome. They were prescribed early enteral nutrition (EEN) with specialized blends from the 2nd day of disease. In 2 days a significant reduction in pain syndrome with the persistence of dyspeptic syndrome and intestinal insufficiency (II) was recorded. In patients with intra-abdominal hypertension, total parenteral nutrition is the effective method of nutritional support, against which, after 5 days manifestations of dyspeptic syndrome and IAP indices decrease to a safe level. Therefore in-time detection of high level of intra-abdominal pressure in patients with acute pancreatitis can help to choose a more rational method of nutritional support.
Authors and Affiliations
E. Yu. Sorokina, L. S. Belykh, A. N. Panin, E. V. Nikitina, I. A Kovrizhin, O. P. Strah
Keywords
Related Articles
- EP ID EP305109
- DOI 10.26641/2307-0404.2018.2.133950
- Views 56
- Downloads 0
Аналіз ризику для здоров’я дитячого населення, яке проживає в зонах забруднення атмосферного повітря викидами сірки діоксиду
Около 20-30% всех заболеваний дыхательной системы та 40% случаев астмы связаны с загрязнением атмосферного воздуха. В результате проведенного исследования было проанализировано распространенность бронхиальной астмы среди...
Comparison of risk assessment models of BRCA1 and BRCA2 mutation carrier in patients with breast cancer
Analysis of efficiency of the algorithm BOADICEA using and Manchester scoring system to predict the carrier of BRCA1 and BRCA2 mutations in Ukranian patients with breast cancer was performed. Materials for this study wer...
Протективний ефект цитрату германію при ендотоксин-індукованій оваріальній дисфункції в мишей
Протективный эффект цитрата германия при эндотоксин-индуцированной овариальной дисфункции у мышей. Кондрацкая Е.А., Грушка Н.Г., Каплуненко В.Г., Павлович С.И., Срибна В.А., Янчий Р.И. Известно, что эндотоксин граммнега...
Індивідуалізація антибактеріальної терапії тяжкої негоспітальної пневмонії з урахуванням системного запалення та імунного статусу
Индивидуализация антибактериальной терапии (АБТ) больных тяжелой негоспитальной пневмонией (ТНП) является актуальным вопросом во всем мире. Сегодня живо обсуждается роль различных биомаркеров в индивидуализации АБТ больн...
Function of external respiration in patients after kidney transplantation under conditions of immunosuppressive therapy
The aim of our study was to evaluate the changes in the parameters of the function of external respiration in patients after kidney transplantation due to chronic kidney disease and to assess the relationship between the...