Anestesia e Pesquisa Clínica
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Abstrato

Comparative Study between Nasogastric Versus Nasojejunal Feeding in Acute Severe Pancreatitis

Mohamed Gaber Ibrahium Mostafa Allam

Introduction and Aim of the Work: Nutritional support is an important part in the management of severe acute
pancreatitis as it significantly reduces mortality and morbidity by inhibiting bacterial translocation and maintaining
integrity of the GIT mucosa. The way of delivering the nutrients through the GIT either by nasogastric (NG) or
nasojejunal (NJ) route remains a point of debate. This study was designed to compare the NG vs. NJ routes as a way
of nutrition in patients with acute severe pancreatitis.
Patients and Methods: 60 patients allocated in two groups. Group A received feeding through NG tube while group
B received feeding through NJ tube. Effect of the two enteral feeding methods on the clinical condition of the acute
severe pancreatitis, patient's tolerance to feeding, patient's general condition and on achieving satisfactory nutrition
parameters of the patient were used to compare between the two methods.
Results: The results obtained showed no significant difference between delivering the feeding either by NG or NJ
tube by comparing the four indicators used in these studies. The effect on clinical condition of patients with acute
severe pancreatitis, patient's tolerance to feeding, patient's general condition, and achieving satisfactory nutrition
parameters.
Conclusion: Both NG and NJ routes of feeding can be used in acute pancreatitis patients without any significant
difference on clinical condition of patients with acute severe pancreatitis, patient's tolerance to feeding, patient's
general condition, and both achieving satisfactory nutrition parameters.