The effect of early enteral nutrition support for the patients with severe acute pancreatitis

Objective To elucidate the effect of early enteral nutrition support(ENS) for the patients with severe acute pancreatitis(SAP).Methods Fifty patients with SAP were at random divided into two groups: enteral nutrition group(EN group, 25 cases), parenteral nutrition group(PN group, 25cases). PN group was given total parenteral nutrition(TPN),125 kJ/(kg·d) of energy, nitrogen intake:0.20g/(kg·d). In EN group, the naso intestinal tube was placed posterior to ligament Treitz. Since the 1st day nutrilion was infused.Results On the first?4th day, the serum RBP?PA levels were obviously decreased (P0.01,P0.05);and all returned to normal levels after 14 days.ENS help to improve nutritional status of SAP patients and were not significant different from PN groap. The number of infection of the patients with SAP was significanly lower in EN group than in PN group.Conclusion Nutrition supports help to ameliorate the nutritional status of the patients with severe acute pancreatitis and the early enteral nutrition support is rational and adequate in the treatment for the patients with SAP.