Relationship Between Early Enteral Nutrition and BISAP Score with Duration of Hospitalization in Patients with Acute Edematous Pancreatitis

Objective: The main objective of our study was to examine and demonstrate the contribution of early enteral nutrition support to the disease prognosis and duration of hospitalization, in appropriate cases diagnoes with well-defined acute pancreatitis. Materials and Methods: This cross-sectional study included 84 patients admitted to the Internal Medicine clinic with a diagnosis of acute edematous pancreatitis. In order to reveal the statistical relationship of early enteral nutrition support on hospitalization and mortality during the treatment process, patients who received the same infusion protocol and the same intravenous fluid were included in the study. The number of hours after the patients were started on enteral nutrition support was determined. Results: The effect of BISAP score on the initiation of enteral nutrition was evaluated by Binary Logistic Regression analysis. A BISAP score of 3 and above significantly (OR=29.167; CI: 4.634-183.576) increased the duration of enteral nutrition initiation longer than 72 hours. Discussion : There are no studies on the relationship between early enteral nutrition and BISAP score and duration of hospitalization. Since the BISAP score is calculated according to the clinical evaluation in the first 24 hours and its statistical relationship with mortality has been demonstrated in the literature, we thought to reveal the relationship between early enteral nutrition support and hospitalization duration in the evaluation of the course, severity and prognosis of acute pancreatitis. Conclusions: We think that early enteral nutrition ≤72 hours in patients with acute pancreatitis will provide a significant reduction in hospitalization time and complications.