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Early Enteral Nutrition in Severe Acute Pancreatitis

Early Enteral Nutrition in Severe Acute Pancreatitis

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02000323
Enrollment
60
Registered
2013-12-04
Start date
2012-08-31
Completion date
2017-08-31
Last updated
2013-12-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pancreatitis

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

OTHERmodified early enteral nutrition

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

RenJi Hospital
CollaboratorOTHER
Ruijin Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

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

MeasureTime frameDescription
mortality28daysthe rate of patients died

Secondary

MeasureTime frameDescription
operation rate2 monthsThe rate of patients received operation for pancreatitis debridement
fulfilling enteral nutrition target(≥25Kcal/kg/day)7 daysenteral nutrition target set as ≥25Kcal/kg/day

Other

MeasureTime frame
inta-abdominal infection2 months

Countries

China

Contacts

Primary ContactZhen Er chen, PHD
chenerzhen@hotmail.com64370045
Backup Contactqiang En mao

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026