The observation of effects of early enteral nutriton on severe acute pancreatitis

Objective To explore the feasibility, saftyandvalidity of earlyenteral nutrition(EN) insevere acute pancreatitis(SAP).Method Forty patients with SAP were randomly allocated to either EN group(20 patients) or control group(20 patients).Patients in EN group were placed nutrition tubes into the jejunum by gastroscopy within 72 hours of admission, the nutrition support was performed from parenteral to enteral route gradually, and other treatments were as same as in control group.Serum albumin and hemoglobin, serum and urinary amylase were determined before and after 7 day treatment.Result All patients could endure the early EN, and no recurrence of SAP was found.The serum and urinary amylase were not changed significantly;serum albumin and hemoglobin level were higher in EN group.One patient was complicated with lung infec-tion, and 2 patients with pseudocyst.Conclusion Enteral nutrition is feasible, safe, and effective in treatment of SAP.