Parenteral nutrition in acute severe pancreatitis-report of 27 cases
- VernacularTitle:胃肠外营养(PN)支持治疗急性重症胰腺炎27例报告
- Author:
Yanqing, WANG
;
Jun, ZHANG
- Publication Type:Journal Article
- From:
Chinese Journal of Clinical Nutrition
2000;8(1):59-
- CountryChina
- Language:Chinese
-
Abstract:
Abstracts Experience in total parenteral nutrition (TPN) support for 27 patients with acute severe panereatitis is presented. Most patients were seriously ill, and the course were long and complicated with a mean duration of 64 days, and the longest one was 179 days. Metabolic disturbance and malnutrition were very conspicuous. The mean duration of TPN support for each patient was 24 days, and the longest one maintained for 72 days. TPN began from the early stage and cover the whole period of alimentary dysfunction until the patient could take food by mouth in most patients. Combined treatment was important, ineluding: early operation in 19 patients, intra-and/or postoperative lavage of pancreatic bed and and peritoneal cavity in 13 patients, and as well as appropriated conservative management. Late operative drainage for pancreatic abscess was done in 7 cases. Results Were satisfactory with 22 (81. 5% ) were cured and 5 (18. 5% ) died. In the latter, 3 were died of pancreatic sepsis complicated with infective shock, 2 died of exhaustion, together with pneumonia and multiple system organ filure. None of early died.
