CURRENT SITUATION OF FEEDING PATIENTS WITH ACUTE PANCREATITIS AT INTENSIVE CARE UNIT – POISON CONTROL, SAINT PAUL HOSPITAL IN 2022

Minh Anh Trần1,, Đăng Hưng Nguyễn2, Bá Thắng Nguyễn3, Hoài Thương Lê3, Thành Tiến Nguyễn3
1 Xanh pon hospital
2 HMU
3 Xanh Pon hospital

Main Article Content

Abstract

Objective: Describe the feeding status of patients with acute pancreatitis being treated at Saint Paul Hospital's Intensive Care Unit – Poison Control. Subjects and methods: A cross-sectional descriptive study on 89 patients with acute pancreatitis aged 18 years and older were interviewed and assessed dietary intake during the hospital stay. Results: Three days is the typical length of fasting. The patient receives most of their nutrition intravenously for the initial three days. On the third day, gastrointestinal feeding is introduced, and the patient gradually increases energy as each day of treatment passes. The early enteral feeding group (<72h) experienced a shorter hospital stay (7.8 ± 3.2 days as opposed to 12.8 ± 8.3 days). Summary: The patient was primarily fed intravenously for the first three days following admission. After switching to enteral nutrition, the diet was gradually raised in accord with the patient's tolerance. Early enteral feeding (<72h) may reduce hospital stay in patients with acute pancreatitis.

Article Details

References

1. Nguyễn Công Long and Đặng Kiều Oanh (2022). Một số yếu tố nguy cơ và các dấu hiệu cảnh báo bệnh nhân viêm tuỵ cấp tại Bệnh viện Bạch Mai. Tạp chí Y học Việt Nam, 514(Số 1 2022), 142–145.
2. Rivelsrud M., Paur I., Sygnestveit K., et al. (2021). Nutritional treatment is associated with longer survival in patients with pancreatic disease and concomitant risk of malnutrition. Clinical Nutrition, 40(4), 2128–2137.
3. Arvanitakis M., Ockenga J., Bezmarevic M., et al. (2020). ESPEN guideline on clinical nutrition in acute and chronic pancreatitis. Clinical Nutrition, 39(3), 612–631.
4. Nguyễn Thu Minh, Vũ Trường Khanh, and Nguyễn Hoàng Anh (2014). Khảo sát thực trạng nuôi dưỡng nhân tạo trên bệnh nhân viêm tụy cấp tại Khoa Tiêu hóa, Bệnh viện Bạch Mai. Tạp chí Dược học, 462(10/2014), 7–14.
5. Nguyễn Thanh Liêm and Lê Thành Lý (2014). Liên quan giữa tăng Triglycerid máu và độ nặng viêm tuỵ cấp theo lâm sàng và theo tiêu chuẩn RANSON. Tạp chí Y học thực hành, 903(Số 1/2014), 11–14.
6. Võ Thị Lương Trân (2018). So sánh đặc điểm lâm sàng, cận lâm sàng của Viêm tuỵ cấp do tăng TRiglyceride máu với viêm tuỵ cấp do các nguyên nhân khác. Tạp chí Y học Thành phố Hồ Chí Minh, 22(2), 8.
7. McClave S.A., Taylor B.E., Martindale R.G., et al. (2016). Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN J Parenter Enteral Nutr, 40(2), 159–211.
8. Reintam Blaser A., Starkopf J., Alhazzani W., et al. (2017). Early enteral nutrition in critically ill patients: ESICM clinical practice guidelines. Intensive Care Med, 43(3), 380–398.
9. Lakananurak N. and Gramlich L. (2020). Nutrition management in acute pancreatitis: Clinical practice consideration. World J Clin Cases, 8(9), 1561–1573.