Soporte nutricional en pancreatitis régimen hipocalórico hiperproteico / Nutritional support in the patient with pancreatitis

RESUMO

Stric Precautions shall be taken when administering parenteral nutrition, which is the most advisable, in the metabolic and nutritional support to patients with serious acute pancreatitis; total parenteral nutrition with an excess supply of glucose the hyperglicemia phase, results in undesirable and harmful physicologic effects; this was the reason for the proposal of administering a hypocaloric (hypoglucid) and hyperproteic regimen to a group of patients with serious acute pancreatitis, and determining its efficiency, as well as checking the behaviour of the patients and this regimen; 9 patients with serious acute pancreatitis are analysed between January 1987 and July 1992 at the intensive care unit of a private institution; those patients received a minimum of 1214 calories per day and a maximum of 1820 calories with an average of 1492, based on the harris-Benedict formula, without making increases according to their pathology. We were able to observe that in spite of having admnistered a total of 2 grs/kg/day of proteic supply, catabolism in these patients was severe, obtaining a nitrogen balance average of - 5.43 during the days in which the hypocaloric and hyperoproteic regime was administered ; mortality level of only 33.3 per cent in spite of the seriousness of the inherent pathology. It is worth noting the obesity in these patients; 100 per cent of them were well over the ideal weight, with clear overweight