Pérez RR, Sanabria SY

Language: Spanish
References: 20
Page: 42-50
PDF size: 374.62 Kb.

ABSTRACT

Introduction: For more than a decade in the course of the acute pancreatitis articles of enteral and parenteral nutrition have been published. Recent studies indicate that the enteral nutrition could improve the evolution of the serious illness, to reduce the complications and to favor a quicker recovery from the illness.
Objective: to demonstrate the effectiveness of the precocious enteral nutrition with a regime of nutritional supplement before the first 72 hours of entrance supported with the application of three evolution and presage scores: Ranson, Apache II, and Balthazar Hill.
Method: Qualitative clinical and descriptive investigation, using some variables of quantitative and qualitative type. The sick persons with breathing and hemodynamic disorders and acute renal failure were excluded of the study. The sample was conformed by 44 cases.
Results: Prevalence of the illness is observed in the feminine sex between 25 to 45 years of age. In those groups the main causal factor was cholelithiasis followed by the realization of the endoscopic retrograde cholangiopancreatography (ERCP). The scores applied such as Ranson and Apache II in the entrance and at the 7 days, most of the evaluated punctuations were between 3-5 points. None of the sick persons presented fistulas, neither ascites but some of them presented pseudocyst (4 cases, 9%).
Conclusions: The precocious enteral nutritional support is an effective method for the initial treatment of the acute pancreatitis.

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