中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Issue 11
Nov.  2011

Nutritional support therapy in severe acute pancreatitis

  • Received Date: 2011-10-17
  • Published Date: 2011-11-20
  • Nutrition is a critical aspect in the management of severe acute pancreatitis.This review aims to systematically review the evidence available to report the use of nutritional support treatment in severe acute pancreatitis.Nutritional support therapy is indicated if patients cannot consume normal food after 5-7days of hospital admission or when it becomes evident that the patient will not be able to tolerate oral intake for a prolonged period of time (7 days or more) .EN is preferred over PN, because it reduces complications and mortality in AP.PN is only to be used in patients unable to tolerate EN.It is likely that EN has a beneficial influence on the disease course and should be initiated as early as possible (with 48 hours of admission) .It can be stated that nasogastric tube feeding in SAP is possible.The clinical evidence for the use of just (semi) elemental formulas is weak.Supplementation of enteral formulas with glutamine and prebiotics and the use of immune enhancing formulas cannot routinely be recommended.

     

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