title: [Nasogastric enteral nutrition in severe acute pancreatitis].
abstract: OBJECTIVE
  To establish the nasogastric enteral nutrition tolerance in patients with severe acute pancreatitis.
  
  
  METHODS
  A total of 12 patients with severe acute pancreatitis (> or = 3 Ranson criteria; C-reactive protein > 210 mg/dl) and adverse clinical course were included during 2006. When we verified the disease severity, nasogastric (10 F) enteral nutrition was initiated. We used a low fat semi-elemental feed (Dietgrif) in a slow infusion rate. We evaluated the enteral nutrition tolerance and the adverse events.
  
  
  RESULTS
  The patient (4 women and 8 men) mean age (standard deviation) was 70 (11) years and the mean hospital stay was 86 days (range: 14-405 days). The etiology of pancreatitis was: gallstones 8, alcohol abuse one and unknown 3. All patients had medical and/or pancreatic complications. Seven had significant pancreatic necrosis detected in the abdominal computed tomography. Three patients were admitted in the critical care unit and 2 died. The nasogastric enteral nutrition was well tolerated in 8 out of 12 patients (67%) regardless of their medical or pancreatic complications. Only in 3 patients we had initially to discontinue the feeding because of ileus and total parenteral nutrition was provisionally necessary. Enteral nutrition was impossible in one patient because of duodenal stenosis.
  
  
  CONCLUSIONS
  Nasogastric enteral nutrition is well tolerated in patients with severe acute pancreatitis and it is an alternative to others nutritional routes.
authors.affiliation: Unidad de Medicina Interna, Fundación Hospital Alcorcón, Alcorcón, Madrid, España. ggcasasolaster@gmail.com
authors.forename: Gonzalo
authors.initials: G
authors.lastname: García de Casasola
authors.forename: Guillermo
authors.initials: G
authors.lastname: Cacho Acosta
authors.forename: Asunción
authors.initials: A
authors.lastname: Gonzálvez-Gasch
authors.forename: Raquel
authors.initials: R
authors.lastname: Barba Martín
authors.forename: Benjamín
authors.initials: B
authors.lastname: Herreros Valdepeñas
authors.forename: Ana
authors.initials: A
authors.lastname: Barbado Cano
mesh_terms: D000208:Acute Disease; D000368:Aged; D001294:Attitude to Health; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000379:methods*; D008297:Male; D010195:Pancreatitis / Q000175:diagnosis / Q000503:physiopathology*; D012720:Severity of Illness Index