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Scientific paper - Original scientific paper
Utjecaj rane enteralne prehrane na nutricijski status i tijek bolesti u oboljelih od akutnog pankreatitisa
Medica Jadertina, 47 (2016), 1-2; 5-12. urn:nbn:hr:239:643583
Holik, Dubravka; Včev, Aleksandar; Miškulin, Ivan; Goll-Barić, Sanda; Dželalija, Boris; Miškulin, Maja

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Holik, D., Včev, A., Miškulin, I., Goll Barić, S., Dželalija, B. & Miškulin, M. (2016). Utjecaj rane enteralne prehrane na nutricijski status i tijek bolesti u oboljelih od akutnog pankreatitisa. Medica Jadertina, 47. (1-2), 5-12. Retrieved from https://urn.nsk.hr/urn:nbn:hr:239:643583

Holik, Dubravka, et al. "Utjecaj rane enteralne prehrane na nutricijski status i tijek bolesti u oboljelih od akutnog pankreatitisa." Medica Jadertina, vol. 47, no. 1-2, 2016, pp. 5-12. https://urn.nsk.hr/urn:nbn:hr:239:643583

Holik, Dubravka, Aleksandar Včev, Ivan Miškulin, Sanda Goll Barić, Boris Dželalija and Maja Miškulin. "Utjecaj rane enteralne prehrane na nutricijski status i tijek bolesti u oboljelih od akutnog pankreatitisa." Medica Jadertina 47, no. 1-2 (2016): 5-12. https://urn.nsk.hr/urn:nbn:hr:239:643583

Holik, D., et al. (2016) 'Utjecaj rane enteralne prehrane na nutricijski status i tijek bolesti u oboljelih od akutnog pankreatitisa', Medica Jadertina, 47(1-2), pp. 5-12. Available at: https://urn.nsk.hr/urn:nbn:hr:239:643583 (Accessed 11 December 2024)

Holik D, Včev A, Miškulin I, Goll Barić S, Dželalija B, Miškulin M. Utjecaj rane enteralne prehrane na nutricijski status i tijek bolesti u oboljelih od akutnog pankreatitisa. Medica Jadertina [Internet]. 2016 [cited 2024 December 11];47(1-2):5-12. Available at: https://urn.nsk.hr/urn:nbn:hr:239:643583

D. Holik, A. Včev, I. Miškulin, S. Goll Barić, B. Dželalija and M. Miškulin, "Utjecaj rane enteralne prehrane na nutricijski status i tijek bolesti u oboljelih od akutnog pankreatitisa", Medica Jadertina, vol. 47, no. 1-2, pp. 5-12, 2016. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:239:643583. [Accessed: 11 December 2024]

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Metadata
Title (croatian)Utjecaj rane enteralne prehrane na nutricijski status i tijek bolesti u oboljelih od akutnog pankreatitisa
Title (english)The Influence of Early Nutrition on the Nutrition Status and Course of Disease in Patients With Acute Pancreatitis
AuthorDubravka Holik
MBZ: 348203
AuthorAleksandar Včev
MBZ: 141721
AuthorIvan Miškulin
MBZ: 350925
AuthorSanda Goll-Barić
AuthorBoris Dželalija
MBZ: 175552
AuthorMaja Miškulin
MBZ: 290921
Author's institution(Clinical hospital center Osijek)
Author's institutionJosip Juraj Strossmayer University of Osijek
Faculty of Medicine Osijek
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Scientific / art field,
discipline and subdiscipline		BIOTECHNICAL SCIENCES
Nutrition
Nutritional Science
Abstract (croatian)
Cilj: Evaluirati utjecaj rane enteralne prehrane (EP) i totalne parenteralne prehrane (TPP) na nutricijski status i tijek bolesti u oboljelih od akutnog pankreatitisa. Ispitanici i metode: U randomizirani kontrolirani pokus uključeno je 35 bolesnika sa srednje teškim akutnim pankreatitisom, podijeljenih u dvije skupine, ovisno o tipu nutritivne potpore. Bolesnici u skupini na EP dobivali su Alitraq, Abbott, 25-30 kcal/kg putem nazojejunalne sonde, uz opće mjere liječenja. Druga skupina pacijenata na TPP primala je totalnu parenteralnu prehranu u kontinuiranoj infuziji putem venskog katetera, također uz opće mjere liječenja. Rezultati: Srednja vrijednost CRP-a u ispitanika na EP pokazivala je veći pad 7. dana liječenja u odnosu na TPP (101,5:142,6). Pad indeksa tjelesne mase (ITM) bio je veći u ispitanika na TPP u odnosu na početne vrijednosti (7,4%), dok se kod ispitanika na EP nakon početnoga pada ITM-a, vrijednost istoga na kraju liječenja približavaju početnima. Vrijednosti kalcija brže su se oporavljale i dosegle su krajnje više vrijednosti u skupini na EP (2,11 ± 0,11 mmol/L) u odnosu na ispitanike na TPP (2,06 ± 0,16 mmol/L). Porast vrijednosti serumskih albumina bio je u EP 6,5%, a u TPP 0,2% u odnosu na početne vrijednosti. Trajanje hospitalizacije bilo je u prosjeku dva dana kraće u skupini ispitanika na EP. Učestalost kompli-kacija bila je podjednaka u obje skupine. Zaključak: EP je jednako učinkovita i sigurna u liječenju akutnog pankreatitisa kao i uobičajeno korištena TPP.
Abstract (english)
Aim. The aim of this study was to evaluate the effects of early enteral nutrition (EN) and total parenteral nutrition (TPN) to nutritional status and development of the disease in patients suffering from acute pancreatitis. Patients and methods. 35 patients suffering from average severe acute pancreatitis were included in this randomized controlled trial. The patients were divided into two groups, according to the type of nutritional support. Those receiving enteral nutrition were given Alitraq, Abbott, 25-30 kcak/kg via nasojejunal tube with general supportive treatment. Other patients receiving total parenteral nutrition were given this nutrition in continuous infusion through the central venous catheter with general supportive treatment. Results. Mean value of CRP in patients on EN demonstrated more pronounced decrease on day 7 of the treatment vs. TPN (101.5 : 142.6). A decrease in the body mass index (BMI) was higher in the TPN group when compared to initial values (7.4%), whereas in patients on EN group after initial decrease, the values approached baseline values. The values of serum calcium recovered faster and reached higher values in the EN group (2.11 ± 0.11mmol/L) vs. patients in TPN group (2.06 ± 0.16 mmol/L). An increase in the serum albumin levels in comparison to baseline values was 6.5% in EN group vs. 0.2% in TPN group of patients. The length of hospitalization was on average two days shorter in patients receiving EN. Complication incidence was similar in both groups. Conclusion. EN is equally efficient and safe in treatment of acute pancreatitis as standard nutritional support i.e. total parenteral nutrition.
Keywords (croatian)
Keywords (english)
Languagecroatian
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleMedica Jadertina
Numberingvol. 47, no. 1-2, pp. 5-12
p-ISSN0351-0093
URN:NBNurn:nbn:hr:239:643583
Publication2016
Document URLhttps://hrcak.srce.hr/index.php?show=clanak&id_clanak_jezik=262064
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2019-09-13 12:04:50