Early enteral nutrition in surgical treatment of an acute complicated pancreatitis

Keywords: acute complicated pancreatitis; early enteral nutrition

Abstract

Objective. To estimate the efficacy of early enteral nutrition (EEN) in patients with an acute complicated pancreatitis, after determining of its content  and improving the realization methods.

Маterials and methods. There were studied the results of EEN in 82 patients, suffering an acute complicated pancreatitis. Two groups of patients were delineated - the main (n=58), in which EEN was included into the complex of treatment in preoperative and postoperative periods, and a comparative one (n=24). For conduction of EEN the probe was put during fibrogastroscopy into jejunum (in 25 patients), while suboperative nasogastrointestinal intubation was performed (in 12), and a jejunostomy in accordance to Witzel procedure was formatted (in 21), what have appeared the most effective procedure and served for realization of the Fast track surgery principles.

Results. Nutritious food blends were applied in combination with probiotics and the metabolism correctors. Application of EEN in the patients іn an acute complicated pancreatitis have promoted more rapid restoration of a motor-evacuation function of a small bowel, normalization of levels of the blood leukocytes and proteins, weakening of microstructural changes in mucosa and «clearance» of purulent-necrotic focus.

Conclusion. EEN in the patients, suffering an acute complicated pancreatitis constitutes an effective component of surgical treatment in preoperative and postoperative periods.

Author Biographies

V. P. Andriushchenko, Danylo Galytskyi Lviv National Medical University

MD, PhD., D.Sci, Professor

Department of General Surgery

Danylo Halytsky Lviv National Medical University.

Adress: 9 Mykolaychuka Str., 79059, Lviv, Ukraine

 tel.: 258-74-86, fax: 291-72-31

E-mail: avp.victor@gmail.com

https://orcid.org/0000-0003-1848-7358

 

D. V. Andriushchenko, Danylo Galytskyi Lviv National Medical University

MD, PhD., D.Sci, assistant professor,

Department of surgery and endoscopy FPGE

Danylo Halytsky Lviv National Medical University.

Adress: 9 Mykolaychuka Str., 79059, Lviv, Ukraine  tel.:

tel. +380(32) 258-74-84

E-mail: adv.dmitro@gmail.com

https://orcid.org/0000-0003-1046-7889

V. V. Kunovskyi, Danylo Galytskyi Lviv National Medical University

Volodymyr Kunovskyi, MD, PhD

Department of General Surgery

Danylo Halytsky Lviv National Medical University.

Adress: 9 Mykolaychuka Str., 79059, Lviv, Ukraine

tel.: 258-74-87

E-mail: wkw@ukr.net

Yu. S. Lysiuk, Danylo Galytskyi Lviv National Medical University

Yuriy Lysiuk, MD, PhD

Department of General Surgery

Danylo Halytsky Lviv National Medical University.

Adress: 9 Mykolaychuka Str., 79059, Lviv, Ukraine  tel.: 258-74-87

E-mail: Lysiuk@gmail.com

ORCID:  https://orcid.org/0000-0003-2796-4814

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Published
2018-09-30
How to Cite
Andriushchenko, V. P., Andriushchenko, D. V., Kunovskyi, V. V., & Lysiuk, Y. S. (2018). Early enteral nutrition in surgical treatment of an acute complicated pancreatitis. Klinicheskaia Khirurgiia, 85(9), 8-10. https://doi.org/10.26779/2522-1396.2018.09.08
Section
General Problems of Surgery