NUTRITIONAL SUPPORT IN ACUTE SEVERE PANCREATITIS- NASOJEJUNAL VS. NASOGASTRIC FEED
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 5
Abstract
BACKGROUND Nutritional support is an important aspect in the management of acute pancreatitis. Enteral feeding can be given either through nasogastric or nasojejunal route. Studies have shown that nasojejunal tube placement is cumbersome and that nasogastric feeding is an effective means of providing enteral nutrition. However, the concern that nasogastric feeding increases the chance of aspiration and exacerbates acute pancreatitis by stimulating pancreatic secretion has prevented it as the standard of care. The primary objective of this study was to compare nasogastric feeding and nasojejunal feeding routes of enteral nutrition in acute severe pancreatitis with regards to safety and effectiveness. MATERIALS AND METHODS This is a Prospective Descriptive study. This study was done to compare nasogastric vs. nasojejunal feeding in acute severe pancreatitis. The total number of patients in the study were sixty, (n= 60). Thirty patients were in nasogastric feeding group, while thirty patients were in the nasojejunal group (NG group= 30; NJ group= 30). CONCLUSION The nasogastric route of enteral nutrition appears to be an effective route of enteral nutrition in predicted severe acute pancreatitis. Nasogastric feeding is safe and well tolerated, and is simple and easy to establish. The nasogastric route of enteral nutrition appears too comparable to the nasojejunal route in terms of safety, tolerance and efficacy. So both the routes can be used for enteral nutrition in acute severe pancreatitis. RESULTS Serum albumin as measured in biochemical tests was also similar. Serum albumin was measured in all patients at the end of one week and then at the end of 7 weeks after receiving enteral nutrition. Serum albumin had decreased from the baseline. However, the decrease was comparable in both NG and NJ groups and there was no statistically significant difference in both the groups.
Authors and Affiliations
Vikas Garg, Tejinderpal Singh, Nain P. S, Anju Bhagtana, Jyoti Jindal
Keywords
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- EP ID EP365290
- DOI 10.14260/jemds/2018/134
- Views 87
- Downloads 0
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