‘’Role of early enteral feeding in acute pancreatitis’’
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Objective: 1. To assess the occurrence of infective and non-infective complications in cases of acute pancreatitis on early enteral nutrition.2. To assess the need for surgical intervention in cases of acute pancreatitis on early enteral feeds.3. To assess the average duration of hospital stay with early enteral nutrition. Materials and methods: This prospective study was conducted on patients admitted to Subharti hospital with symptoms suggestive of acute pancreatitis from August 2016 to September 2018 on 50 patients. Patients with clinical picture consistent with the diagnosis of acute pancreatitis, along with more than 3 fold elevation of serum amylase and elevated serum lipase were considered to have acute pancreatitis. Two groups were made with equal number of patients in each group one containing patients with initiation of early enteral feeding ( within 72hours of onset of symptoms ) and one with late enteral feeding ( after 72 hours of onset of symptoms) Results: Serum amylase and lipase levels dropped significantly in patients in which early enteral feeding was started as compared to those in which late feeding ( Bowel rest was given). Amongst 50 patients present in the study, in 25 patients early enteral feeding was started, it was found that patients’ Amylase and lipase levels after 7 days of initiation of feed reduced to normal levels whereas in those patients in which late enteral feeding was started there was no significant reduction in the serum amylase and lipase levels.
Authors and Affiliations
Dr. M. K Maheshwari, Dr Aviral Tyagi, Dr. B. K Gupta
Keywords
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- EP ID EP572068
- DOI 10.9790/0853-1804020610.
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