Zhou WC, Zhang H, Li X, Li YM, Zhang L, Meng WB, Zhu XL. Combination of endoscopy and enteric nutrition in treatment of acute severe biliary pancreatitis: an analysis of 31 cases.
Shijie Huaren Xiaohua Zazhi 2009;
17:1684-1688. [DOI:
10.11569/wcjd.v17.i16.1684]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To evaluate the therapeutic efficacy of endoscopy and enteric nutrition (EN) in acute severe biliary pancreatitis at early stage.
METHODS: The clinical data of patients, who were admitted in our department from January 2005 to July 2008, were collected and the diagnoses were acute severe biliary pancreatitis (ASBP). Those patients were randomly divided into two groups (E-group and R-group): E-group's treatment protocols were ERCP + EST + ERBD and Enteral Nutritional on early stage; R-group's treatment protocol was orthodox treatment and Total Parenteral Nutrition (TPN) + EN. We compared the dates of two groups in subjective symptoms, signs, chemical examinations, endotoxin of plasma, TNF-α, computed tomography grades, cost of hospitalization, length of hospital stay. All of dates showed that E group had an advantage in comparison with R group.
RESULTS: All patients involved completed our therapy, and received the EN at early stage. Endoscopy and enteric nutrition significantly improved subjective symptoms, clinical signs, laboratory examinations, TNF-α, endotoxin, significantly reduced hospital fees, length of hospital stay.
CONCLUSION: Endoscopy and enteric nutrition at early stage is of effectiveness, safy and economic protocol in acute severe biliary pancreatitis.
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