Experience of Early Enteral Nutrition in Severe Acute Pancreatitis

Objective To investigate the experience of early enteral nutrition in patients with severe acute pancreatitis.Methods The data of nutritional support in 86 cases with severe acute pancreatitis were analyzed retrospectively,40 cases were conducted by total parenteral nutrition only (TPN group) and 46 cases were performed by total parenteral nutrition and enteral nutrition (TPN + EN group).Results The average time of continued nutritional support was (25.58±3.84) days in TPN group(40 cases)and their infection rate in pancreas and peripancreatic tissues was 33.3%. Meanwhile,the average time of continued nutritional support was (17.58 ± 4.2) days,the infection rate was 17.3% in TPN+EN group,and five cases (10%) of pancreatitis have a rebound and no mortality.Compared with those in TPN group,the average nutritional support time,the hospitalization time mean hospitalization costs,and the infection rates were lower after treatment,while the levels of prealbumin and albumin were higher significantly (P0.05).Conclusion Early enteral nutrition support of the patients with severe pancreatitis after intestinal function recovery should be helpful to maintain intestinal barrier function and reduce complications of pancreatitis and improve its cure rate.