Meta analysis on the tolerance and prognosis of nasogastric feeding versus nasojejunal feeding in severe acute pancreatitis
10.3760/cma.j.issn.1674-1935.2016.06.006
- VernacularTitle:鼻胃管与鼻空肠管营养对重症急性胰腺炎耐受性及预后影响的Meta分析
- Author:
Wentao LI
;
Chong YANG
;
Ji ZHAO
;
Yu ZHANG
;
Shikai ZHU
;
Kai CHEN
;
Hongji YANG
- Keywords:
Pancreatitis,acute necrotizing;
Enteral nutrition;
Self tolerance;
Intubation,gastrointestinal
- From:
Chinese Journal of Pancreatology
2016;16(6):383-388
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the safety and efficiency of nasogastric ( NG ) feeding with nasojejunal (NJ) feeding in treating severe acute pancreatitis ( SAP).Methods The terms NG tube,NJ tube,SAPand enteral nutritionwere used for literature search in PubMed , Embase, Cochrane Library, WanFang and CNKI databases and the publication deadline was June 1, 2016.Random effect model was used for Meta analysis .Results A total of 5 random clinical trials involving 264 patients ( 136 in NG group and 128 in NJ group ) were included .There was no statistical difference on the incidence of adverse events (mortality:RR=0.77, 95%CI 0.42~1.41, P=0.39; infection complications: RR=0.77, 95%CI 0.45~1.30, P=0.39; digestive complications: RR=1.26, 95%CI 0.73~2.16, P=0.41; stopping nasogastric proportion:RR=0.66, 95%CI 0.10~4.10, P=0.65;MODS rate:RR=0.98, 95%CI 0.71~1.35, P=0.90; the percentage of energy balance: RR=1.00, 95%CI 0.97~1.03, P=0.39 and the average length of hospital stay:RR=0.98, 95%CI 0.71~1.35, P=0.90).Conclusions NG feeding was safe and effective , which was comparable with NJ feeding .NG feeding was more convenient with a higher clinical value .
