Nasogastric or nasointestinal feeding in severe acute pancreatitis.

ABSTRACT:

Aim

To assess the rate of spontaneous tube migration and to compare the effects of naso-gastric and naso-intestinal (NI) (beyond the ligament of Treitz) feeding in severe acute pancreatitis (SAP).

Methods

After bedside intragastric insertion, tube position was assessed, and enteral nutrition (EN) started at day 4, irrespective of tube localization. Patients were monitored daily and clinical and laboratory parameters evaluated to compare the outcome of patients with nasogastric (NG) or NI tube.

Results

Spontaneous tube migration to a NI site occurred in 10/25 (40%) prospectively enrolled SAP patients, while in 15 (60%) nutrition was started with a NG tube. Groups were similar for demographics and pancreatitis aetiology but computed tomography (CT) severity index was hi

SUBMITTER: Piciucchi M 

PROVIDER: S-EPMC2915430 | biostudies-literature | 2010 Aug

REPOSITORIES: biostudies-literature