Review: enteral nutrition reduces infections, need for surgical intervention, and length of hospital stay more than parenteral nutrition in acute pancreatitis.
نویسنده
چکیده
MAIN RESULTS 6 trials (n=263) met the selection criteria. 4 studies had poor quality (Jadad score (2 out of 5). Meta-analysis was completed using a random effects model and intention to treat data from individual studies. Patients who received EN had a lower risk of infection than those who received PN, less need for surgical intervention, fewer septic complications, and shorter hospital stays (mean reduction 2.9 days, 95% CI 1.6 to 4.3) (table). The EN and PN groups did not differ for complications other than infections or hospital mortality (table).
منابع مشابه
Meta-analysis of parenteral nutrition versus enteral nutrition in patients with acute pancreatitis.
OBJECTIVE To compare the safety and clinical outcomes of enteral and parenteral nutrition in patients with acute pancreatitis. DATA SOURCES Medline, Embase, Cochrane controlled trials register, and citation review of relevant primary and review articles. STUDY SELECTION Randomised controlled studies that compared enteral nutrition with parenteral nutrition in patients with acute pancreatiti...
متن کاملEnteral nutrition in severe acute pancreatitis.
CONTEXT There is controversy concerning the merits of enteral and parenteral nutrition in the management of patients with severe acute pancreatitis. OBJECTIVE This study was undertaken to evaluate the effect of enteral nutrition versus parenteral nutrition on serum markers of inflammation and outcome in patients with severe acute pancreatitis. SETTING Tertiary care centre in North India. ...
متن کاملMeta-analysis: total parenteral nutrition versus total enteral nutrition in predicted severe acute pancreatitis.
BACKGROUND Total parenteral nutrition (TPN) as a traditional mode of treatment in severe acute pancreatitis was still used widely in clinical work. In addition, enteral nutrition treatment methods have developed; early enteral nutrition has already been highlighted for severe acute pancreatitis, but the therapeutic risks versus benefits need to be studied. AIMS AND OBJECTIVE To compare total ...
متن کامل[Critical appraisal: enteral nutrition is better than parenteral nutrition for patients with acute pancreatitis].
OBJECTIVE To compare the safety and clinical outcomes of enteral and parenteral nutrition in patients with acute pancreatitis. DATA SOURCES Medline, Embase, Cochrane controlled trials register, and citation review of relevant primary and review articles. STUDY SELECTION Randomized controlled studies that compared enteral nutrition with parenteral nutrition in patients with acute pancreatiti...
متن کاملNutrition in pancreatic diseases.
The pancreas plays a major role in nutrient digestion. Therefore, in both acute and chronic pancreatitis, exocrine and endocrine pancreatic insufficiency can develop, impairing digestive and absorptive processes. These changes can lead to malnutrition over time. In parallel to these changes, decreased caloric intake and increased metabolic activity are often present. Nutritional deficiencies ne...
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عنوان ژورنال:
- Evidence-based nursing
دوره 8 1 شماره
صفحات -
تاریخ انتشار 2005