scholarly journals Exploration of the Curative Effect of Early Enteral Nutrition Nursing on Patients with Severe Acute Pancreatitis and the Improvement of Patients’ Mental Health and Inflammation Level

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Qigui Xiao ◽  
Lan Lang ◽  
Zhenhua Ma ◽  
Yulin Zhang ◽  
Kedong Xu
Keyword(s):  
Mental Health ◽  
Acute Pancreatitis ◽  
Enteral Nutrition ◽  
Severe Acute Pancreatitis ◽  
Test Group ◽  
Control Group ◽  
Early Enteral Nutrition ◽  
Curative Effect ◽  
Comparison Of Experiments ◽  
Improvement Effect

In order to explore the curative effect of early enteral nutrition nursing on patients with severe acute pancreatitis and the improvement of patients’ mental health and inflammation levels, this paper compares the curative effect of early enteral nutrition nursing and traditional care on patients with severe acute pancreatitis and the improvement effects of patients’ mental health and inflammation levels through controlled trials. Moreover, this paper combines statistical methods for data processing and visually expresses data through statistical graphs and statistical tables. Through the comparison of experiments, it can be seen that the improvement effect in all aspects of patients in the test group is significantly higher than that in the control group. Finally, through the analysis of the test results, it can be known that the use of early enteral nutrition nursing for patients with acute severe acute pancreatitis has a certain effect in improving their nutritional status, regulating immune function, and promoting mental health.

493: THE IMPACT OF VERY EARLY ENTERAL NUTRITION IN PATIENTS WITH SEVERE ACUTE PANCREATITIS

2020 ◽  
Vol 48 (1) ◽  
pp. 227-227
Author(s):  
Masayasu Horibe ◽  
Ikue Nakashima ◽  
Masamitsu Sanui ◽  
Mitsuhito Sasaki ◽  
Hirotaka Sawano ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Enteral Nutrition ◽  
Severe Acute Pancreatitis ◽  
Early Enteral Nutrition ◽  
The Impact

Early Enteral Nutrition With Polymeric Feeds Was Associated With Chylous Ascites in Patients With Severe Acute Pancreatitis

Pancreas ◽  
2014 ◽  
Vol 43 (4) ◽  
pp. 553-558 ◽  
Author(s):  
Shao-Yang Zhang ◽  
Zhong-Yan Liang ◽  
Wen-Qiao Yu ◽  
Zhi-En Wang ◽  
Zuo-Bing Chen ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Enteral Nutrition ◽  
Severe Acute Pancreatitis ◽  
Chylous Ascites ◽  
Early Enteral Nutrition

scholarly journals The effect of enteral nutrition on intra-abdominal pressure in severe acute pancreatitis patients

2017 ◽  
Author(s):  
Mingjie Zhang ◽  
Li-Ping Cao ◽  
Guoping Ding
Keyword(s):  
Acute Pancreatitis ◽  
Enteral Nutrition ◽  
Severe Acute Pancreatitis ◽  
Occurrence Rate ◽  
Control Group ◽  
Abdominal Pressure ◽  
Therapeutic Effects ◽  
Study Group ◽  
Time Operation ◽  
Operation Rate

Abstract BACKGROUND: To investigate the effect of enteral nutrition (EN) on intra-abdominal pressure (IAP) in severe acute pancreatitis (SAP) patients and the relationship between the decreasion of IAP and the the therapeutic effect of EN. METHODS: Eighty SAP patients were randomly divided into study group and control group (40 patients in each group). Patients in the study group received EN and Patients in the control group received total parenteral nutrition (TPN) for 7 days. Intra-cystic pressure (ICP) of the two groups was measured during treatment period. The outcomes of treatment were observed, APACHE Ⅱ scores, NB data were applied in analysis. RESULTS: The ICP data was lower in the study group than in the control group on days 4 and 5 of treatment (P < 0.05). On days 3-5 of treatment, the APACHE Ⅱ scores of the study group were lower than which of the control group (P < 0.05). Nitrogen balance (NB) date increased significantly in study group than in the control group (P < 0.05). abdominalgia relief time, operation rate were different between the two groups (P < 0.05). The abdominal compartment syndrome (ACS) occurrence rate of the two groups have no significant difference. The ICP data and APACHE Ⅱscores, abdominalgia relief time, operation rate of pancreas debridement show positive correlation (P < 0.05). ICP and NB date show negative correlation (P < 0.05). CONCLUSION: EN can decrease the IAP of SAP, which may be the reason for EN show preventive and therapeutic effects on SAP.

scholarly journals Evaluation of ultrasound-guided Freka-Trelumina enteral nutrition tube placement in the treatment of acute pancreatitis

2019 ◽  
Author(s):  
Zhijun Liu ◽  
Jintao Guo ◽  
Weidong Ren ◽  
Shaoshan Tang ◽  
Ying Huang ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Enteral Nutrition ◽  
Success Rate ◽  
Severe Acute Pancreatitis ◽  
Feeding Tube ◽  
Tube Placement ◽  
Early Enteral Nutrition ◽  
Ultrasound Guided ◽  
Blocking Rate ◽  
Medical University

Abstract Background Enteral nutrition should be implemented as early as possible in patients with moderate or severe acute pancreatitis. This study was designed to evaluate the feasibility and effectiveness of ultrasound-guided Freka-Trelumina tube placement for enteral nutrition in acute pancreatitis.Methods Patients with severe acute pancreatitis admitted to Shengjing Hospital of China Medical University who needed Freka-Trelumina tube placement for enteral nutrition and gastrointestinal decompression were included in the current study. The relevant evaluation indicators of tube placement include the success rate of tube placement, tube placement time, tube shift rate, and blocking rate. In addition, the evaluation indicators of ultrasound-guided tube placement (from 1 January 2018 to 31 July 2019) was compared with those of previously endoscope-guided placement (from 1 January 2015 to 31 December 2017) by analysed the data from electronic medical record system.Results The success rate of ultrasound-guided tube placement was 90.7% (49/54). All 49 patients tolerated the Freka-Trelumina feeding tube. The average ultrasound-guided tube placement time for the 49 patients was 18.4 ± 12.8 min (range, 5-36 min). The Freka-Trelumina feeding tube had a shift rate of 10.2% (5/49). The blocking rate of the Freka-Trelumina feeding tube was 12.2% (6/49). The success rate of tube placement, tube shift rate and blocking rate for the endoscope-guided tube placement were 100% (62/62), 11.3% (7/62), 12.9% (8/62). The average endoscope-guided tube placement time for the 62 patients was 16.5 ± 5.7 min (range, 12-31 min).Conclusion The ultrasound-guided method can be operated non-invasively at the bedside, which is safe and convenient, and place the Freka-Trelumina feeding tube in time to achieve the goal of early enteral nutrition and gastrointestinal decompression.

Effects of Micro-Ecological Enteral Nutrition on Systemic Inflammatory Response, Bacterial Translocation, and Immune Function in Patients with Severe Acute Pancreatitis

2020 ◽  
Vol 19 (3) ◽  
pp. 240-247
Author(s):  
Yilan Wang ◽  
Hongwei Ye ◽  
Feng Zheng ◽  
Xinsen Zou ◽  
Xianbin Wu ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Enteral Nutrition ◽  
Inflammatory Response ◽  
Immune Function ◽  
Severe Acute Pancreatitis ◽  
Bacterial Translocation ◽  
Severity Index ◽  
Systemic Inflammatory Response ◽  
Mucosal Barrier ◽  
Control Group

We have evaluated the effect of early and late micro-ecological enteral nutrition on systemic inflammatory response, bacterial translocation, and immune function in patients with severe acute pancreatitis. Two weeks after treatment, experimental group receiving early nutritional intervention exhibited a significant increase in intestinal lactobacilli and bifidobacteria, fewer staphylococci, and E. coli, and lower levels of serum endotoxin, D-lactic acid, and diamine oxidase than the group receiving late intervention (control group) (P < 0.05). Also, the serum levels of CD3+ and CD4+ and CD4+/CD8+ ratio significantly increase after 2 weeks of intervention. On the other hand, the level of CD8+ and the Acute Physiology and Chronic Health Evaluation II and Modified Computed Tomography Severity Index scores significantly decreased after 2 weeks of treatment (P < 0.05). The early intervention also led to a significant shortening of time needed for abdominal pain relief, anal exhaustion, resumption of peristaltic sound, and hospitalization. Furthermore, there was a significant increase in overall response rate, and decrease in the incidence rate of complications (P < 0.05). Early micro-ecological enteral nutrition therapy can effectively relieve systemic inflammatory response, prevent intestinal bacterial translocation, restore the function of intestinal mucosal barrier, and alleviate nutritional imbalance in severe acute pancreatitis patients leading to improved immune function, mitigation of the disease, and reduced complications benefiting the recovery of patients.

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