Application of a special nasointestinal tube in the treatment of acute pancreatitis
A. A. Kashintsev,
N. Yu. Kokhanenko,
V. Yu. Proutski,
S. V. Anisimov,
A. A. Nadeeva,
Yu. N. Ulyanov,
A. L. Ivanov https://doi.org/10.24884/0042-4625-2024-183-2-58-63
Abstract
Conservative treatment of severe and moderately severe acute pancreatitis (AP) with a focus on reducing suppurative complications poses a challenging task. The early initiation of enteral nutrition plays a crucial role in improving AP treatment outcomes. This case presentation illustrates an original method of duodenal drainage and intestinal tube feeding.
A case of a patient with moderately severe acute pancreatitis and a relatively high risk of a fatal outcome is presented. Positive therapeutic effects were achieved through the innovative method of selective feeding with duodenal isolation. Percutaneous drainage of the abdominal cavity under ultrasound control for enzymatic peritonitis, coupled with early artificial feeding, successfully prevented infection and the development of multiorgan failure.
The developed method of duodenal content aspiration and early jejunal tube feeding has demonstrated both effectiveness and safety.
About the Authors
A. A. Kashintsev
Saint-Petersburg State Pediatric Medical University; LLC «PanDx»
Russian Federation
Competing Interests:
Russian Federation
Kashintsev Aleksei A., Cand. of Sci. (Med.), Associate Professor of the Department of Faculty Surgery named after Prof. A. A. Rusanov
2, Litovskaya str., Saint-Petersburg, 194100; Saint-Petersburg
Competing Interests:
The authors declare no conflict of interest
N. Yu. Kokhanenko
Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Kokhanenko Nikolai Yu., Dr. of Sci. (Med.), Professor, Head of the Department of Faculty Surgery named after Prof. A. A. Rusanov
2, Litovskaya str., Saint-Petersburg, 194100
Competing Interests:
The authors declare no conflict of interest
V. Yu. Proutski
LLC «PanDx»
Russian Federation
Competing Interests:
Russian Federation
Proutski Vitali Yu., General Director
Saint-Petersburg
Competing Interests:
The authors declare no conflict of interest
S. V. Anisimov
LLC «PanDx»
Russian Federation
Competing Interests:
Russian Federation
Anisimov Sergei V., Dr. of Sci. (Med.), Director of Operations
Saint-Petersburg
Competing Interests:
The authors declare no conflict of interest
A. A. Nadeeva
LLC «PanDx»
Russian Federation
Competing Interests:
Russian Federation
NadeevaAnastasia A., Data Manager
Saint-Petersburg
Competing Interests:
The authors declare no conflict of interest
Yu. N. Ulyanov
Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Ulyanov Yuri N., Dr. of Sci. (Med.), Professor, Associate Professor of the Department of Faculty Surgery named after Prof. A. A. Rusanov
2, Litovskaya str., Saint-Petersburg, 194100
Competing Interests:
The authors declare no conflict of interest
A. L. Ivanov
Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Ivanov Artem L., Cand. of Sci. (Med.), Associate Professor of the Department of Faculty Surgery named after Prof. A. A. Rusanov
2, Litovskaya str., Saint-Petersburg, 194100
Competing Interests:
The authors declare no conflict of interest
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For citations:
Kashintsev A.A., Kokhanenko N.Yu., Proutski V.Yu., Anisimov S.V., Nadeeva A.A., Ulyanov Yu.N., Ivanov A.L. Application of a special nasointestinal tube in the treatment of acute pancreatitis. Grekov's Bulletin of Surgery. 2024;183(2):58-63. (In Russ.) https://doi.org/10.24884/0042-4625-2024-183-2-58-63
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