Effects of early enteral nutrition in patients with mild acute pancreatitis

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Introduction: Acute pancreatitis (AP) is an inflammatory disease of the pancreas that spans a wide range ranging from mild to critical forms. Contrary to the progress in the management of severe AP, the MAP has not presented significant changes in recent years. There are also no studies that establi...

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Autores principales: Cecenarro, Rodolfo Raúl, Bonci, Laura, Kasparian, Andrés, Gramática (h), Luis
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018
Materias:
pancreatitis leve
nutrición temprana
nutrición enteral
pancreatitis
nutrition
enteral nutrition
lithiasis
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/18420
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
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institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Español
format Artículo revista
topic pancreatitis leve
nutrición temprana
nutrición enteral
pancreatitis
nutrition
enteral nutrition
lithiasis
spellingShingle pancreatitis leve
nutrición temprana
nutrición enteral
pancreatitis
nutrition
enteral nutrition
lithiasis
Cecenarro, Rodolfo Raúl
Bonci, Laura
Kasparian, Andrés
Gramática (h), Luis
Effects of early enteral nutrition in patients with mild acute pancreatitis
topic_facet pancreatitis leve
nutrición temprana
nutrición enteral
pancreatitis
nutrition
enteral nutrition
lithiasis
author Cecenarro, Rodolfo Raúl
Bonci, Laura
Kasparian, Andrés
Gramática (h), Luis
author_facet Cecenarro, Rodolfo Raúl
Bonci, Laura
Kasparian, Andrés
Gramática (h), Luis
author_sort Cecenarro, Rodolfo Raúl
title Effects of early enteral nutrition in patients with mild acute pancreatitis
title_short Effects of early enteral nutrition in patients with mild acute pancreatitis
title_full Effects of early enteral nutrition in patients with mild acute pancreatitis
title_fullStr Effects of early enteral nutrition in patients with mild acute pancreatitis
title_full_unstemmed Effects of early enteral nutrition in patients with mild acute pancreatitis
title_sort effects of early enteral nutrition in patients with mild acute pancreatitis
description Introduction: Acute pancreatitis (AP) is an inflammatory disease of the pancreas that spans a wide range ranging from mild to critical forms. Contrary to the progress in the management of severe AP, the MAP has not presented significant changes in recent years. There are also no studies that establish a clear relationship between EEN in MAP and levels of albuminemia and CRP.Materials and methods: A randomized, longitudinal and prospective clinical study was conducted. Patients were divided into 2 groups. The experimental group (G1) was indicated from the entrance a diet  hyperproteic low in colecistokinetics diet, and to the control group (G2) nothing by mouth.Results: 19 patients were randomly distributed in 57.89% in the G2 and 42.11% in the G1. The G1 presented a higher average hospital stay in relation to the G2, such differences were not significant (p> 0.05). The G1 presented higher values of CRP in relation to the G2 significantly (p ?0.05). There was a decrease in albumin levels in both groups (p ?0.05). It was observed in both groups that, as CRP levels increased, albumin levels decreased significantly (p <0.01).Conclusions: Albuminemia levels decreased significantly in both groups, and this decrease was more marked in the EEN group. The decrease in albuminemia had a direct correlation with CRP levels, which were higher in the G1.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2018
url https://revistas.unc.edu.ar/index.php/med/article/view/18420
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last_indexed 2022-08-20T01:25:24Z
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spelling I10-R10-article-184202019-05-20T10:39:12Z Effects of early enteral nutrition in patients with mild acute pancreatitis Nutrición enteral temprana en pacientes con pancreatitis agudas leves: estudio clínico randomizado Cecenarro, Rodolfo Raúl Bonci, Laura Kasparian, Andrés Gramática (h), Luis pancreatitis leve nutrición temprana nutrición enteral pancreatitis nutrition enteral nutrition lithiasis Introduction: Acute pancreatitis (AP) is an inflammatory disease of the pancreas that spans a wide range ranging from mild to critical forms. Contrary to the progress in the management of severe AP, the MAP has not presented significant changes in recent years. There are also no studies that establish a clear relationship between EEN in MAP and levels of albuminemia and CRP.Materials and methods: A randomized, longitudinal and prospective clinical study was conducted. Patients were divided into 2 groups. The experimental group (G1) was indicated from the entrance a diet  hyperproteic low in colecistokinetics diet, and to the control group (G2) nothing by mouth.Results: 19 patients were randomly distributed in 57.89% in the G2 and 42.11% in the G1. The G1 presented a higher average hospital stay in relation to the G2, such differences were not significant (p> 0.05). The G1 presented higher values of CRP in relation to the G2 significantly (p ?0.05). There was a decrease in albumin levels in both groups (p ?0.05). It was observed in both groups that, as CRP levels increased, albumin levels decreased significantly (p <0.01).Conclusions: Albuminemia levels decreased significantly in both groups, and this decrease was more marked in the EEN group. The decrease in albuminemia had a direct correlation with CRP levels, which were higher in the G1. Introducción: La pancreatitis aguda (PA) es una enfermedad inflamatoria del páncreas que abarca un amplio abanico que va desde las formas leves a las críticas. A diferencia de los progresos en el manejo de las PA graves, el de las PAL no ha presentado cambios significativos en los últimos años. Tampoco existen trabajos que establezcan una relación clara entre la NET en PAL y los niveles de albuminemia y PCR.Material y método: Se realizó un estudio clínico aleatorizado, longitudinal y prospectivo. Los pacientes fueron divididos en 2 grupos. El experimental (G1) se le indicó desde el ingreso una dieta hiperproteica baja en colecistokineticos, y al grupo control (G2) nada por boca.Resultados: 19 pacientes fueron distribuidos aleatoriamente en un 57,89% en el G2 y el 42,11% en el G1.  El G2 presentó un mayor promedio de estadía hospitalaria en relación con el grupo experimental, tales diferencias no fueron significativas (p >0,05). El G1 presentó valores mayores de PCR, en relación con el G2 de manera significativa (p ?0,05). Se registró un descenso de los niveles de albumina en ambos grupos (p ?0,05). Se observó en ambos, que a medida que aumentaron los niveles de PCR, disminuyeron los de albumina de manera significativa (p<0,01).Conclusiones: Los niveles de albuminemia descendieron de manera significativa en ambos grupos, y dicho descenso fue más marcado en el grupo que recibió NET.  El descenso de la albuminemia tuvo una correlación directa con los niveles de PCR, los cuales fueron mayores en el G1. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018-12-02 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf image/png image/png application/vnd.openxmlformats-officedocument.wordprocessingml.document https://revistas.unc.edu.ar/index.php/med/article/view/18420 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 75 No. 4 (2018); 240-247 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 75 Núm. 4 (2018); 240-247 Revista da Faculdade de Ciências Médicas de Córdoba; v. 75 n. 4 (2018); 240-247 1853-0605 0014-6722 10.31053/1853.0605.v75.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/18420/22176 https://revistas.unc.edu.ar/index.php/med/article/view/18420/22178 https://revistas.unc.edu.ar/index.php/med/article/view/18420/26700 https://revistas.unc.edu.ar/index.php/med/article/view/18420/26701 https://revistas.unc.edu.ar/index.php/med/article/view/18420/26841 Derechos de autor 2018 Universidad Nacional de Córdoba

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