Acute Pancreatitis Clinical Trial
Official title:
Enteral Nutrition for Treatment of Acute Pancreatitis - a Prospective, Randomized Clinical Trial
The purpose of this prospective randomised clinical trial is to compare beneficial and
harmful effects of the use enteral nutrition versus a nil-by-mouth and intravenous fluid
replacement principle of treatment in patients with moderate to severe acute pancreatitis
(AP).
The hypothesis:
- enteral nutrition is no significantly better compared with the nil-by-mouth principle
regarding mortality, incidence of local and systemic complications, length of hospital
stay, and intensity of the inflammatory response in patients with moderate to severe AP
- enteral nutrition has the same safety as nil-by-mouth principle in patients with
moderate to severe AP
Patients with first attack of AP irrespective of etiology will be enrolled in the study, if
they are eligible according to the following criteria:
Inclusion criteria:
- onset of symptoms consistent with AP within 72 hours before admission to the hospital
- an 3-fold elevation of serum amylase or serum lipase over the upper limit of normal
- APACHE II score 6 or more
- a signed informed consent
Exclusion criteria:
- patients < 18 years of age
- pregnant and breastfeeding women
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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