Navigation Links
Short-term hemofiltration is cost-effective for severe acute pancreatitis
Date:10/12/2007

Early nasogastric enteral nutrition is a breakthrough in the management of severe acute pancreatitis. From meta-analysis based on current available clinical studies early nasogastric enteral nutrition appeared effective and safe in clinical practice.

Three randomized controlled clinical trials were eligible, and 131 participants were included. Of them, 67 were randomly assigned to the early nasogastric enteral nutrition group and 64 to the conventional nutritional route group. Conventional routes included total parenteral nutrition and nasojejunal enteral nutrition.

Nutritional management of severe acute pancreatitis is regarded as an indispensable approach. Total parenteral nutrition and gastrointestinal tract rest have been recommended in the management of severe acute pancreatitis since the mid 1990s. Enteral nutrition through jejuna route has been accepted as a safe and effective approach to the management of severe acute pancreatitis by preserving the integrity of intestinal mucosa and preventing bacterial translocation. Some studies have attempted to assess the feasibility and safety of early enteral nutrition through nasogastric route.

Early nasogastric enteral nutrition is a breakthrough in the management of severe acute pancreatitis. Previously, it was forbidden because it might potentially oppose the requirement of pancreatic rest in the acute inflammation phase. However, the present systematic review of three randomized controlled trials showed that nasogastric route does not worsen the clinical outcomes compared with the conventional total parenteral or jejunal enteral routes.

Gastrointestinal and pancreatic rest has been regarded as an important factor for management of severe acute pancreatitis. Nevertheless, nasogastric enteral nutrition disobeys this discipline. Whether the nasogastric route is able to gain similar results to gastrointestinal and pancreatic rest needs to be further investigated. If possible, serological, radiological or histological appraisal should be considered for the effectiveness and safety of early nasogastric enteral nutrition in the treatment of severe acute pancreatitis.

Nasogastric route is much more convenient in clinical practice. Moreover, it is obviously cheaper than nasojejunal tube placement. Based on the present results, nasogastric enteral nutrition can be applied in the early management of severe acute pancreatitis. However, before its application in clinical practice, further investigation is necessary to validate its effectiveness and safety.

The research group evaluated the effectiveness and safety of early nasogastric enteral nutrition for severe acute pancreatitis compared with conventional nutritional routes. Based on current studies, early nasogastric enteral nutrition appears effective and safe, but the available evidence is limited.


'/>"/>

Contact: You-De Chang
y.d.chang@wjgnet.com
86-108-538-1892
World Journal of Gastroenterology
Source:Eurekalert

Related medicine news :

1. Amity Institutions To Launch Short-term Professional Courses In Oman
2. Pneumonia Effectively Treated with Short-Term Antibiotic Course
3. Short-Term Topical Corticosteroid May Offer Relief for Certain Type of Psoriasis
4. Obese women Prone To Short-Term Disabilities
5. Cost-effective antibiotics for sinusitis treatment
6. Meningitis C vaccine a cost-effective success
7. Screening Cost-Effective for Lung Cancer
8. Childhood Asthma Can Be Kept Under Control By Cost-Effective Home Based Interventions
9. Prostate cancer drug not found cost-effective
10. Back Pain Can Now Be Cost-Effectively Treated By Chiropractic Care
11. Homecare Association Highlights Cost-Effectiveness of Medicare and Medicaid
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/2/2016)... ... December 02, 2016 , ... U.S. Surgeon General, Dr. ... Mediaplanet, Dr. Murthy explains how he was inspired to practice medicine at an early ... medicine is about more than making diagnoses and prescribing medicine,” he states. “It is ...
(Date:12/2/2016)... , ... December 02, 2016 , ... More than half ... while 84 percent of parents report speaking with their child about sex related topics, ... transmitted diseases. , Mediaplanet is proud to announce the launch of its second edition ...
(Date:12/2/2016)... ... December 02, 2016 , ... Universal Medical Systems, Inc. (UMS) ... first company to offer robotic imaging to veterinary medicine is sponsoring the appearance ... for the American Association of Equine Practitioners 62nd Annual Convention from December 4-6, ...
(Date:12/2/2016)... ... December 02, 2016 , ... "Pro3rd Accents Volume 2 is ... create versatile lower third titles with just a few clicks of the mouse," said ... includes 30 lower third animations. Choose from various styles with accented animations, rigid boxes, ...
(Date:12/2/2016)... ... 02, 2016 , ... Date aired: November 28, 2016 , ... The Owner’s Manual, http://realtimepressrelease.com/press-releases-tagged-with/daryl-wein , Sharon Kleyne, America’s leading water ... Change and Your Health radio program syndicated on Voice of America, welcomed author ...
Breaking Medicine News(10 mins):
(Date:12/4/2016)... , Dec. 3, 2016   Pairnomix, LLC, ... Medicine Alliance (PEPMA) recognized by the White House, today announced ... approach to the identification of candidate therapies for a patient ... SCN8A gene were presented at the 70 th ... Houston, TX , December 2-6, 2016.  ...
(Date:12/2/2016)... Research and Markets has announced the addition of the ... ... R&D Drug Pipeline Database: 1-Year Subscription ... provides 24/7 online access to information about more than 21,000 project ... drug candidates in research & development. Pre-established and ...
(Date:12/2/2016)... the ECG Cables And ECG Leadwires Market owing to the ... On the other hand, the Asia-Pacific ... during the forecast period. The market players namely, ... ( Ireland ), Koninklijke Philips N.V. ( ... China ), held major share of the ECG ...
Breaking Medicine Technology: