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Diet at patients after total pancreatectomy
ŠEDIVÁ, Denisa
In the bachelor degree project Diet for the patients after total pancreatectomy I deal with a diet of the patients who underwent surgery called total pancreatectomy. The introduction of the theoretical part is focused on the anatomy of the pancreas and its function. The following part of the project is directly focused on carcinoma, its epidemiology, incidence, cause of the disease and also development. I also deal with clinical symptoms, treatment and pancreatectomy itself. The last part of the project is oriented towards nutrition for the patients after surgery. Further in this section, I deal with pancreatic and diabetic diet and diet during chemotherapy, which many of the respondents have undergone. As the goal of the project, I chose to look into the alimentation of the patients with this disease and to find out how difficult it is to combine three types of diet together. I focused on the observation of the intake of basic nutrients such as carbohydrates, fats, and proteins. The practical part I compose as a qualitative research. There were 6 respondents who took part in the research. Unfortunately, only two of them provided me with their blood glucose values to evaluate their alimentation according to the diabetic diet. The result was very surprising. In relation to the seriousness of the illness, most of them ate basically without restriction. They were eating everything they wanted except sweet dishes, for example cakes and fried dishes. They just watched their blood glucose values. Despite all the experienced weight loss, their current alimentation meets recommendation and no one of them suffers from lack of any of the macronutrients according to the results.
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Conservative Treatment of Acute Pancreatitis and Use of Enteral Nutrition
Česák, Vojtěch ; Rušavý, Zdeněk (advisor) ; Kvapil, Milan (referee) ; Sobotka, Luboš (referee)
Acute pancreatitis is a disease which can present in a mild or severe form. In the last few years, the incidence of acute pancreatitis has been steadily rising. The treatment of severe cases is complex and nutrition is one of the key treatment factors. Enteral and parenteral nutrition are documented parts of acute phase treatment included in many guidelines. However, there is a controversy about the timing of initiation of peroral nutrition after the acute phase of severe pancreatitis has resolved. This dissertation shows the results of monocentric prospective randomized trial which compares the safety and effectivity of peroral nutrition compared to enteral nutrition in patients with severe acute pancreatitis during hospitalization as well as in long term after hospital discharge. Patients with severe acute pancreatitis were randomized into two groups - enteral nutrition versus peroral nutrition. The randomized nutrition strategy was initiated within the first 14 days of hospitalization. We monitored the length of hospital stay, tolerance of nutrition, complications, body weight and nutrition parameters. The two groups did not differ significantly in the length of hospital stay. The number of complications was similar between the groups, there was no significant difference in the rate of acute...
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Conservative Treatment of Acute Pancreatitis and Use of Enteral Nutrition
Česák, Vojtěch ; Rušavý, Zdeněk (advisor) ; Kvapil, Milan (referee) ; Sobotka, Luboš (referee)
Acute pancreatitis is a disease which can present in a mild or severe form. In the last few years, the incidence of acute pancreatitis has been steadily rising. The treatment of severe cases is complex and nutrition is one of the key treatment factors. Enteral and parenteral nutrition are documented parts of acute phase treatment included in many guidelines. However, there is a controversy about the timing of initiation of peroral nutrition after the acute phase of severe pancreatitis has resolved. This dissertation shows the results of monocentric prospective randomized trial which compares the safety and effectivity of peroral nutrition compared to enteral nutrition in patients with severe acute pancreatitis during hospitalization as well as in long term after hospital discharge. Patients with severe acute pancreatitis were randomized into two groups - enteral nutrition versus peroral nutrition. The randomized nutrition strategy was initiated within the first 14 days of hospitalization. We monitored the length of hospital stay, tolerance of nutrition, complications, body weight and nutrition parameters. The two groups did not differ significantly in the length of hospital stay. The number of complications was similar between the groups, there was no significant difference in the rate of acute...
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Nutrition as a risk factor for acute pankreatitis
PECHUŠKOVÁ, Pavlína
Acute pancreatitis or acute inflammation of the pancreas is not one of the most common diseases. Pancreas is a vital organ involved in many important digestive processes and its infliction may be fatal. Patients with acute pancreatitis represent 1-2 % of patients hospitalized at surgical departments (Dobiáš, 2012). The most common ethiological factors of acute pancreatitis are cholelithiasis and excessive consumption of alcohol (Havel, 2004; Lukáš, 2007; Kasper, 2009; Svačina, 2010; Šimek, 2005; Špičák 2005). These factors together make up 80 % of the causes. Most often stated ratio is 3:1 in favor of cholelithiasis. Among rarely occuring causes are abdominal injuries, developmental anomalies of pancreas, drugs, hyperparathyreosis and uremia. This bachelor´s thesis deals with nutrition, eating habits and other factors that might cause acute inflammation of the pancreas. The aim of the thesis is to valorize eating habits of patients with acute pancreatitis and to evaluate how much is the excessive alcohol consumption involved in causing the desease. I set two hypotheses to achieve these goals: Hypothesis 1: The patients with acute pancreatitis followed principles of healthy diet before getting ill. Hypothesis 2: The majority of respondents consumed excessive amount of alcohol before getting ill. Acute pancreatitis as a disease is described and defined in the theoretical part of the thesis. Then its occurence is cleared up, proved and suspected causes, clinical picture and process of treatment of the disease are elucidated. Dietary measures recommended for the patients are described in detail. I also delineate the principles of pancreatic diet and its phases. In conclusion the influence of the eating habits and suitable precautions are described. The results of my research are presented in the practical part of the thesis. The research was to evaluate eating habits of the patients with acute pancreatitis before the disease outbreak. Moreover the consumption of alcoholic beverages, the presence of another illnesses and the probable risk factors causing acute pancreatitis were eximined. I have chosen quantitative research method. The research was conducted by the means of questionnaire survey at the wards of five different hospitals. The research sample consisted of 27 patients, both sexes and different ages, with the diagnosis of acute pancreatitis. The aim was to evaluate probable risk factors causing acute pancreatitis and the role of diet and alcohol consumption. The results showed that the Hypothesis 1 was not confirmed. The patients didn´t follow the principles of healthy diet before getting ill. Hypothesis 2 was not confirmed too. In most cases the patients didn´t consume more than the tolerated amount of alcohol per day. However, in comparison with the other factors, alcohol can significantly contribute to the onset of acute pancreatitis. Futhermore, it was found that another risk factor for acute pancreatitis is cholelithiasis, the presence of gallstones in the gallbladder or bile ducts, either currently or previously. Another interesting finding was that Body Mass Index of the patients is not directly correlated with their eating habits. The thesis brings knoledge about the causes of acute pancreatitis, about the eating habits´ influence and about the impact of excessive alcohol consumption. If causes are clear, prevention measures can be set easily. Nutritional recommendations based on the results could be set down for residents and it could thereby contribute to the reduction of occurence of the disease.
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