Nutrition in acute pancreatitis: a critical review

Expert Review of Gastroenterology & Hepatology
Piet J LodewijkxDutch Pancreatitis Study Group

Abstract

Severe acute pancreatitis poses unique nutritional challenges. The optimal nutritional support in patients with severe acute pancreatitis has been a subject of debate for decades. This review provides a critical review of the available literature. According to current literature, enteral nutrition is superior to parenteral nutrition, although several limitations should be taken into account. The optimal route of enteral nutrition remains unclear, but normal or nasogastric tube feeding seems safe when tolerated. In patients with predicted severe acute pancreatitis an on-demand feeding strategy is advised and when patients do not tolerate an oral diet after 72 hours, enteral nutrition can be started. The use of supplements, both parenteral as enteral, are not recommended. Optimal nutritional support in severe cases often requires a tailor-made approach with day-to-day evaluation of its effectiveness.

Associated Clinical Trials

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Citations

May 19, 2017·Clinical Endoscopy·Christine BoumitriMichel Kahaleh
Sep 26, 2019·Journal of Cellular Physiology·Yi YangLijun Tang
Mar 7, 2020·JPEN. Journal of Parenteral and Enteral Nutrition·Ting ChenJingci Zhu
Mar 19, 2020·Journal of Clinical Laboratory Analysis·Lifeng ZhangJiaqing Shen
Mar 28, 2020·United European Gastroenterology Journal·Guillermo García-RayadoEnrique de-Madaria
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Jul 18, 2017·Frontiers in Immunology·Li-Long PanJia Sun
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Oct 6, 2017·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Xiao-Bin ZhengPing Lan
Mar 22, 2020·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Hideto YasudaToshihiko Mayumi

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