Effects of early enteral nutrition in patients with mild acute pancreatitis

Authors

  • Rodolfo Raúl Cecenarro Servicio de Cirugía General N°I - Hospital Nacional de Clínicas - FCM - UNC
  • Laura Bonci Servicio de Cirugía General N° I - Hospital Nacional de Clínicas - FCM - UNC.
  • Andrés Kasparian Servicio de Cirugía N° I - Hospital Nacional de Clínicas - FCM - UNC.
  • Luis Gramática (h) Servicio de Cirugía General N° I - Hospital Nacional de Clínicas - FCM - UNC.

DOI:

https://doi.org/10.31053/1853.0605.v75.n3.18420

Keywords:

pancreatitis, nutrition, enteral nutrition, lithiasis

Abstract

Introduction: Acute pancreatitis (AP) is an inflammatory disease of the pancreas that spans a wide range ranging from mild to critical forms. Contrary to the progress in the management of severe AP, the MAP has not presented significant changes in recent years. There are also no studies that establish a clear relationship between EEN in MAP and levels of albuminemia and CRP.

Materials and methods: A randomized, longitudinal and prospective clinical study was conducted. Patients were divided into 2 groups. The experimental group (G1) was indicated from the entrance a diet  hyperproteic low in colecistokinetics diet, and to the control group (G2) nothing by mouth.

Results: 19 patients were randomly distributed in 57.89% in the G2 and 42.11% in the G1. The G1 presented a higher average hospital stay in relation to the G2, such differences were not significant (p> 0.05). The G1 presented higher values of CRP in relation to the G2 significantly (p ?0.05). There was a decrease in albumin levels in both groups (p ?0.05). It was observed in both groups that, as CRP levels increased, albumin levels decreased significantly (p <0.01).

Conclusions: Albuminemia levels decreased significantly in both groups, and this decrease was more marked in the EEN group. The decrease in albuminemia had a direct correlation with CRP levels, which were higher in the G1.

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Author Biographies

Rodolfo Raúl Cecenarro, Servicio de Cirugía General N°I - Hospital Nacional de Clínicas - FCM - UNC

Médico. Docente Universitario en Ciencias de la Salud.

Residente de Cirugía General - Servicio de Cirugía N° I Hospital Nacional de Clínicas - FCM - UNC.

Profesional Adscripto - Cátedra de Clínicas Quirúrgica II - Hospital San Roque - FCM - UNC.

Laura Bonci, Servicio de Cirugía General N° I - Hospital Nacional de Clínicas - FCM - UNC.

Licenciada en Nutrición.

Tesista Máster en Nutrición en Hospital Nacional de Clínicas.

Servicio de Nutrición Hospital Italiano de Córdoba.

Andrés Kasparian, Servicio de Cirugía N° I - Hospital Nacional de Clínicas - FCM - UNC.

Médico. Docente Universitario en Ciencias Médicas. Doctor en Medicina y CIrugía. Especialista en Cirugía General.

Profesor Adjunto (interino) Cátedra de Fisiología FCM - UNC.

Profesor Asistente Cátedra de Clínica Quirúrgica N° I HNC - FCM - UNC.

Luis Gramática (h), Servicio de Cirugía General N° I - Hospital Nacional de Clínicas - FCM - UNC.

Médico. Especialista en Cirugía General. Docente Universitario en Ciencias de la Salud. Doctor en medicina y cirugía.

Jefe del Servicio de Cirugía General N° I HNC - FCM _ UNC.

Profesor Titular Cátedra de Clínica Quirúrgica N° I HNC - FCM - UNC.

Director de la Carrera de especialista en Cirugía General HNC - FCM - UNC.

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Published

2018-12-02

How to Cite

1.
Cecenarro RR, Bonci L, Kasparian A, Gramática (h) L. Effects of early enteral nutrition in patients with mild acute pancreatitis. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2018 Dec. 2 [cited 2024 Jul. 17];75(4):240-7. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/18420

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Section

Original Papers