Features of salt enteral solution application in the treatment of various forms of acute pancreatitis

The article presents the results of a retrospective study of the intestinal lavage (IL) with saline enteral solution (SES) effectiveness for the treatment of dynamic intestinal obstruction in acute forms of pancreatitis and pancreonecrosis.
Objective: to study improve the results of patients treatment in intestinal paresis by various forms of acute pancreatitis, using IL lavage with the use of SES.
Materials and methods. The study included 81 patients: 56 (69.1 %) men and 25 (30.9 %) women, average age 59.3 ± 13.4 years, who were hospitalized in the clinic at different times from the onset of the disease: from 24 hours to 7 days. Patients were divided in two groups: 1^st group (46 people) included patients who started IL for the first 3 days after the onset of the disease; 2^nd group (35 people) consisted of patients who started IL after 3 days of the disease, 30 patients of 2^nd grouphad surgery before IL.
Results. Prokinetic effect of IL in gastrostasis and dynamic bowel obstruction improve the quality of conservative treatment (up to 78.3 % in 1^st group and 37.1 % in 2^nd group); avoid open surgical interventions (up to 6.5 % in 1st group, up to 37.1 % in 2^nd group), carry out decreasing invasive effects of drainage of limited focus (in 15.2 % of patients in 1^st group, 42.9 % in 2^nd group); eliminate the phenomen of gastrostasis within 3 days after IL in both groups. Reduction/elimination of the phenomen of dynamic intestinal obstruction after IL within 24 hours (up to 73.8 % in 1st group, up to 97.1 % in 2^nd group), allowed to start early enteral nutrition within 48 hours (in 73.9 % of patients of 1st group, up to 42.8 % patients of 2^nd group).
Conclusions. Early using of intestinal lavage in the complex therapy of acute forms of pancreatitis is safe and effective and reduces the number of purulent-septic complications, prevents the development of multiple organ failure, reduces the overall mortality, prepares the intestine for early enteral nutrition.

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