Nutritional support in the prevention and treatment of enteric insufficiency in patients with acute pancreatitis

Objective. To evaluate the effectiveness of nutritional support in patients with acute pancreatitis with the definition of its content and improvement of methods of implementation. Materials and methods. To study the results of the use of nutritional support methods in acute pancreatitis, 82 patients were included in the study, among whom two groups were distinguished: the main group – 58 patients, in the complex of treatment of which these methods were implemented in the pre– and postoperative periods, and the comparative group – 24 patients who were treated without the use of nutritional support methods. To provide nutritional support, a probe was inserted into the initial section of the small intestine fibrogastroduodenoscopically (n= 25), during its suboperative nasogastrointestinal incubation (n= 12) and during the formation of a jejunostomy according to Witzel (n= 21). Results. We used food mixtures in combination with probiotics and metabolic correctors according to original methods. The positive result was manifested by normalization of leukocytosis and plasma protein levels, restoration of motor–evacuation function and leveling of microstructural changes in the small intestinal mucosa, as well as a faster process of "clearing" the purulent–necrotic focus in the abdominal cavity. Conclusions. Nutritional support is an effective component of complex surgical treatment of patients with acute pancreatitis.