Abstract
In recent years, early nasojejunal tube enteral nutrition (NJT-EN) has been recommended. We retrospectively compared the usefulness of nasogastric tube enteral nutrition (NGT-EN) and total parenteral nutrition (TPN) in severe acute pancreatitis (SAP).
The subjects were 96 patients with SAP treated in our department between 2005 and 2013. Recovery time and complications were compared in the TPN group (14 patients), early and middle NGT-EN group (EN started within 8 days after the onset, 30 patients), late NGT-EN group (EN started after 9 or more days after the onset, 35 patients), and TPN(-) EN(-) group (12 patients).
Result, the resumption of oral ingestion was significantly earlier and CHDF enforcement rate was significantly lower in the early and middle NGT-EN group than in the TPN group. There were also significant differences between the early and middle NGT-EN group and late NGT-EN group in the resumption of oral ingestion and CHDF enforcement rate.
Based on the results, early and middle NGT-EN within 8 days after the onset of SAP is recommended to shorten the recovery phase and prevent multiple organ dysfunction.
