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find Keyword "Percutaneous endoscopic gastrostomy/jejunostomy" 1 results
  • Clinical Effect of Early Enteral Nutrition in Severe Acute Pancreatitis by Percutaneous Endoscopic Gastrostomy/Jejunostomy

    Objective To explore the clinical value of early enteral nutrition in severe acute pancreatitis (SAP) by percutaneous endoscopic gastrostomy/jejunostomy (PEG/J).Methods Treatment condition of nighty patients with SAP were retrospectively analysed.The 90 patients were collected peripheral venous blood respectively on 1, 12, and 18 d after admission to hospital.Forty-five of them were in PEG/J group, the others were in control group. Serum IL-6,TNF-α and endotoxin were detected by enzyme-linked immunosorbent assay (ELISA),CD4 /CD8 was determinated by indirect immunofluorescence staining method (FITC-labeled).Results On 12 d and 18 d,the levels of serum IL-6, TNF-α, and endotoxin in PEG/J group were lower than those in control group (P<0.01).The CD4 /CD8 was significantly higher than that in control group (P<0.01).In control group, 2 cases complicated upper gastrointestinal haemorrhage,4 cases complicated pancreatic pseudocysts, and 2 cases complicated double infection, the temperature became normal after about 13.5 d.In PEG/J group, there were not upper gastrointestinal haemorrhage and double infection,but 2 cases also complicated pancreatic pseudocysts, the temperature became normal after about 10.5 d.Conclusion The clinical effectiveness of early enteral nutrition in SAP by PEG/J is satisfactory.

    Release date:2016-09-08 10:36 Export PDF Favorites Scan
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