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Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

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Published: 13 January 2024

The Value of Jejunal Tube in the Treatment of Severe Acute Pancreatitis

Dilawar Khan, Zhi-Qiang Zhang

Xinjiang Medical University, First affiliated hospital of Xinjiang Medical University

journal of social and political sciences
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doi

10.31014/aior.1994.07.01.302

Pages: 30-36

Keywords: Severe Acute Pancreatitis (SAP), Multi Organ Failure (MOF), Acute Pancreatitis (AP), Enteral Nutrition (EN)

Abstract

Background: Severe acute pancreatitis (SAP) is associated with high morbidity and mortality due to the development of pancreatic and an infection that follows extra-pancreatic necrosis, and multisystem organ failure (MOF). Objective: To determine the value of jejunal tube in the treatment of severe acute pancreatitis. Methods: A cross-sectional study was conducted at Saidu group of teaching hospitals, Saidu Sharif Swat, Pakistan, which was performed between July 2020 and March 2022. The total number of patients in our study was 112. The number of Male patients was 33 and females were 79. In 112 consecutive patients who underwent for blood tests and Procedures. We did CT scan for all patients to determine the grade of pancreatitis. Data was tabulated and analyzed by SPSS. Results: In a current study total of 112 patients were enrolled with mean±SD age of 52.61±5.54 years. The maximum age was 61 and minimum ages were 41. The mean±SD of serum lipase was 639.56±209.9. The maximum serium lipase was 1107 and minimum serium lipase was 299. The mean±SD of time of patients’ recovery was 5.96±1.09. The maximum time of patient’s recovery was 10 and minimum time of patient recovery was 5. The mean±SD of recovery days was 5.63±0.78. The maximum recovery days of patients were 9 and minimum recovery time was 5. Bar graph showing gender distribution in which female patients were 79 and male patients were 33. In this graph female patients were more as compared to male patients. The number of patients with abdominal pain was 109. The number of patients came to hospital with nausea was 86. The number of patients present with vomiting was 26. The patients who have gall stone were 51. The effectivenss of J-Tube in patients was 33. The complication was noted in 4 patients and the jejunal tubes were passed to 36 patients. Mild pancreatitis patients were 22%, moderate pancreatitis patients were 48% and severe pancreatitis patients were 30%. P- value effectiveness of J-Tube in age group was 0.477. P- value effectiveness of J-Tube in gender was 0.09. The P-value complication of the gender group were 0.18. Conclusion: The recovery time of patients from severe acute pancreatitis was 5 to 10 days. Jejunal tube is more effective in the patients who has more vomiting in severe acute pancreatitis. Jejunal tube is passed to the patient as soon as possible when patient is diagnosed with sever acute pancreatitis. In severe acute pancreatitis patients have more vomiting and abdominal pain. We can diagnose patient with sever acute pancreatitis on Serium lipase blood test. In our study females were more as compare to males.

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