Abstract
The nutritional management of severe acute pancreatitis (SAP) is difficult because of the patient's alimentary function deficiency. We therefore examined the role of the nutrition support team (NST) and the effects of early enteral nutrition with synbiotics (S-EN) in the treatment of SAP. We used antibiotics-resistant Lactobacillus, L-glutamine, oligosaccharide and a dietary fiber as synbiotics. After the establishment of the NST in our hospital in September 2005, those patients with a poor nutritional status were screened by subjective global assessment and objective data analysis, and we continued rounds once weekly until the nutritional problem was completely solved. The pancreatic infection and mortality rates of S-EN group were better than those of the control group. After establishment of the NST, the pancreatic infection and mortality rates of even the most serious SAP patients were better than those of the controls. In conclusion, S-EN and the NST are effective in nutritional management of abdominal emergencies, including SAP.
