Pancreatitis
Conditions
Keywords
pancreatitis, enteral nutrition
Brief summary
to compare different time points for enteral nutrition in SAP patients
Detailed description
There is increasing evidence that indicates Early Enteral Nutrition(EEN) may be associated with improved outcome in acute pancreatitis patients. However, some SAP patients failed to EEN. The researchers of this study aim to investigate the opportunity of EEN on the clinical outcomes of SAP patients.
Interventions
Naso-gastro-jejunal tube will be set up by X-ray within 24 hours of admission. The distal end of the feeding tube would be placed at the remote end of Treitz ligament, and verified by X-ray. • After catharsis, Standard enteral nutrition liquid regimen will be used step by step. Patients are targeted to receive calories for 25 kcal/kg/day. nutrition form: short peptide ,1 kcal/ml,target 200k kcal/day
Naso-gastro-jejunal tube will be set up by X-ray within 24 hours of admission. * The distal end of the feeding tube would be placed at the remote end of Treitz ligament, and verified by X-ray. * After catharsis, Only Normal Saline were given through nasojejunal tube until 2 or more followed requirements were meted (mean arterial pressure≥65mmHg; oxygenation index≥ 300;APCHEII≤8; intra-abdominal pressure \<20mmHg).Then Standard enteral nutrition liquid regimen (Peptisorb Liquid) will be used step by step. * Patients are targeted to receive calories for 25 kcal/kg/day.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Diagnosis of pancreatitis: Typical pain increase in serum lipase or amylase 2. Onset of abdominal pain within \<=72h before admission 3. moderate severe or severe Acute Pancreatitis according to Atlanta criteria revisited in 2012 ffff
Exclusion criteria
* 1\. Pregnancy 2.tumor 3. acute onset of chronic pancreatitis 4. chronic disease of any organ (heart lung gastrointestinal renal etc.) 5. Pre-existing disease with life expectancy \< 3 months 7.receive parenteral nutrition or enteral nutrition before admitting
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| mortality | 28days | the rate of patients died |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| operation rate | 2 months | The rate of patients received operation for pancreatitis debridement |
| fulfilling enteral nutrition target(≥25Kcal/kg/day) | 7 days | enteral nutrition target set as ≥25Kcal/kg/day |
Other
| Measure | Time frame |
|---|---|
| inta-abdominal infection | 2 months |
Countries
China