Особливості харчової підтримки у хворих на гострий панкреатит (огляд літератури)
DOI:
https://doi.org/10.11603/2414-4533.2018.3.9446Ключові слова:
гострий панкреатит, лікування, харчова підтримкаАнотація
Харчування є істотною частиною у лікування хворих на гострий панкреатит. Очевидно, у легких та середньої тяжкості випадках нема необхідності застосовувати штучні методи харчування, навпаки, рекомендовано розпочати пероральне приймання їжі. Проте вид харчування і терміни його початку ще обговорюються. Якщо ж стан пацієнта тяжкий, доцільно розпочати ентеральне харчування, яке зменшує ризик приєднання інфекції, тривалість перебування в стаціонарі, смертність. Парентеральне харчування призначають лише, якщо ентеральне неможливе. Однак залишаються дискусійними, який вид харчування застосовувати краще, ефективніший шлях, а також правильний алгоритм дій при цьому. Огляд літератури присвячений розгляду усіх цих питань. Підсумовуючи, можна стверджувати про необхідність проведення більшої кількості досліджень із питання харчування у пацієнтів із гострим панкреатитом.
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Автори, які публікуються у журналі «Шпитальна хірургія. Журнал імені Л. Я. Ковальчука», погоджуються з такими умовами:
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в. Автори мають право укладати самостійні додаткові угоди щодо неексклюзивного розповсюдження роботи у тому вигляді, в якому вона була опублікована в цьому журналі (наприклад, розміщувати роботу в електронному сховищі установи або публікувати у складі монографії), за умови збереження посилання на першу публікацію роботи в цьому журналі.
г. Політика журналу дозволяє і заохочує розміщення авторами в мережі Інтернет (наприклад, у сховищах установ або на особистих веб-сайтах) рукопису роботи як до подання цього рукопису до редакції, так і під час його редакційного опрацювання, оскільки це сприяє виникненню продуктивної наукової дискусії та позитивно позначається на оперативності та динаміці цитування опублікованої роботи (див. The Effect of Open Access).
