{"id":5233,"date":"2017-11-20T19:25:00","date_gmt":"2017-11-20T21:25:00","guid":{"rendered":"https:\/\/nutritotal.com.br\/pro?p=5233"},"modified":"2023-05-31T16:53:53","modified_gmt":"2023-05-31T19:53:53","slug":"nutria-a-o-enteral-versus-parenteral-na-pancreatite-aguda-grave","status":"publish","type":"post","link":"https:\/\/nutritotal.com.br\/pro\/nutria-a-o-enteral-versus-parenteral-na-pancreatite-aguda-grave\/","title":{"rendered":"Nutri\u00e7\u00e3o enteral versus parenteral na pancreatite aguda grave"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"img-responsive\" style=\"float: left;margin: 0 .5em 0 0\" role=\"presentation\" src=\"https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2017\/11\/pancreas.jpeg\" alt=\"\" width=\"266\" height=\"150\" \/>Nas pancreatites severas amortalidade pode chegar a 30-40% dos casos. meta-analise recente identificouque quando comparada a nutri\u00e7\u00e3o parenteral, a nutri\u00e7\u00e3o enteral reduziu amortalidade, complica\u00e7\u00f5es infecciosas, interven\u00e7\u00f5es cir\u00fargicas e fal\u00eancia org\u00e2nicade Pacientes e com pancreatite . No entanto, este estudo n\u00e3o avaliou desfechosem pacientes cr\u00edticos separadamente. Assim sendo, Yao e colaboradoresrealizaram a presente meta-analise para avaliar os efeitos da nutri\u00e7\u00e3o enteralcomparada a nutri\u00e7\u00e3o parenteral em pacientes cr\u00edticos com pancreatite severa.<\/p>\n<p>Para isso, foram selecionadosestudos randomizados controlados relevantes que compararam nutri\u00e7\u00e3o enteral eparenteral em pacientes internados em UTI. Para avaliar a qualidade dos estudosselecionados foi aplicado o crit\u00e9rio metodol\u00f3gico do \u201cLivro Cochrane paraRevis\u00f5es Sistem\u00e1ticas de Interven\u00e7\u00f5es\u201d.<\/p>\n<p>Dos 690 artigos encontrados forameleg\u00edveis 5 estudos (348 pacientes). Ap\u00f3s an\u00e1lise estat\u00edstica dos estudos, foiencontrada diferen\u00e7a significativa na mortalidade entre os grupos com nutri\u00e7\u00e3oenteral e parenteral (RR=0,36 , p=0,001). As an\u00e1lises tamb\u00e9m mostraram que anutri\u00e7\u00e3o enteral reduziu a frequ\u00eancia de fal\u00eancia m\u00faltipla de \u00f3rg\u00e3o (RR=0,39 ,p=0,003). N\u00e3o foram encontrados vieses significativos nas publica\u00e7\u00f5es.<\/p>\n<p>Diversos estudos corroboram que anutri\u00e7\u00e3o enteral \u00e9 ben\u00e9fica em manter a imunidade intestinal e reduzir aatrofia da mucosa intestinal, o que leva \u00e0 melhora da fun\u00e7\u00e3o da barreira intestinal,melhorando os resultados cl\u00ednicos em pacientes cr\u00edticos com pancreatite agudagrave que recebem dieta enteral.<\/p>\n<p>A partir desta meta-an\u00e1lise osautores concluiram que a nutri\u00e7\u00e3o enteral pode ajudar a reduzir a mortalidade ea taxa de fal\u00eancia m\u00faltipla de \u00f3rg\u00e3os, e deve ser recomendada como terapia nutricionalpreferencial para pacientes cr\u00edticos com pancreatite aguda grave.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nas pancreatites severas amortalidade pode chegar a 30-40% dos casos. meta-analise recente identificouque quando comparada a nutri\u00e7\u00e3o parenteral, a nutri\u00e7\u00e3o enteral reduziu amortalidade, complica\u00e7\u00f5es infecciosas, interven\u00e7\u00f5es cir\u00fargicas e fal\u00eancia org\u00e2nicade Pacientes e com pancreatite . No entanto, este estudo n\u00e3o avaliou desfechosem pacientes cr\u00edticos separadamente. Assim sendo, Yao e colaboradoresrealizaram a presente meta-analise para avaliar [&hellip;]<\/p>\n","protected":false},"author":44,"featured_media":5232,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[576,577],"tags":[194,98],"divisao":[2185,2192,3327],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Nutri\u00e7\u00e3o enteral versus parenteral na pancreatite aguda grave - Nutritotal PRO<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nutritotal.com.br\/pro\/nutria-a-o-enteral-versus-parenteral-na-pancreatite-aguda-grave\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nutri\u00e7\u00e3o enteral versus parenteral na pancreatite aguda grave - Nutritotal PRO\" \/>\n<meta property=\"og:description\" content=\"Nas pancreatites severas amortalidade pode chegar a 30-40% dos casos. meta-analise recente identificouque quando comparada a nutri\u00e7\u00e3o parenteral, a nutri\u00e7\u00e3o enteral reduziu amortalidade, complica\u00e7\u00f5es infecciosas, interven\u00e7\u00f5es cir\u00fargicas e fal\u00eancia org\u00e2nicade Pacientes e com pancreatite . No entanto, este estudo n\u00e3o avaliou desfechosem pacientes cr\u00edticos separadamente. 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