Tags

Type your tag names separated by a space and hit enter

Nutritional support in acute pancreatitis.
Curr Opin Clin Nutr Metab Care. 2008 May; 11(3):261-6.CO

Abstract

PURPOSE OF REVIEW

This review explores the role of enteral and parenteral nutrition in severe acute pancreatitis and discusses the potential benefits of glutamine, omega-3 fatty acids, arginine and selenium together with probiotics and prebiotics in these patients. In addition, the method of refeeding during the convalescent period is also examined.

RECENT FINDINGS

A complex picture is emerging in which enteral nutritional support may be important early in the course of the disease with parenteral nutrition being used more as a backup and possibly only after the systemic inflammatory response has peaked. Nasogastric feeding, sometimes supplemented by parenteral nutrition, is as efficacious as nasojejunal feeding. An individualized approach, in which strategies of nutritional support are tailored to patient response, is gaining currency. Data regarding specialized formulae are mixed but the use of prebiotics is showing promise and is worthy of further exploration. In the convalescent period, preliminary data also indicate that the risk of pain developing is no greater if a light diet is instituted rather than clear fluids.

SUMMARY

Nutritional support in acute pancreatitis remains challenging and controversial with a number of different and unexpected approaches, including the use of nasogastric feeding and dual enteral and parenteral nutrition support, being adopted in recent clinical trials.

Authors+Show Affiliations

Gastroenterology and Hepatology Unit, The Canberra Hospital and The Australian National University, Canberra, Australia. andrew.thomson@act.gov.au

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

18403922

Citation

Thomson, Andrew. "Nutritional Support in Acute Pancreatitis." Current Opinion in Clinical Nutrition and Metabolic Care, vol. 11, no. 3, 2008, pp. 261-6.
Thomson A. Nutritional support in acute pancreatitis. Curr Opin Clin Nutr Metab Care. 2008;11(3):261-6.
Thomson, A. (2008). Nutritional support in acute pancreatitis. Current Opinion in Clinical Nutrition and Metabolic Care, 11(3), 261-6. https://doi.org/10.1097/MCO.0b013e3282fba5b4
Thomson A. Nutritional Support in Acute Pancreatitis. Curr Opin Clin Nutr Metab Care. 2008;11(3):261-6. PubMed PMID: 18403922.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nutritional support in acute pancreatitis. A1 - Thomson,Andrew, PY - 2008/4/12/pubmed PY - 2008/9/10/medline PY - 2008/4/12/entrez SP - 261 EP - 6 JF - Current opinion in clinical nutrition and metabolic care JO - Curr Opin Clin Nutr Metab Care VL - 11 IS - 3 N2 - PURPOSE OF REVIEW: This review explores the role of enteral and parenteral nutrition in severe acute pancreatitis and discusses the potential benefits of glutamine, omega-3 fatty acids, arginine and selenium together with probiotics and prebiotics in these patients. In addition, the method of refeeding during the convalescent period is also examined. RECENT FINDINGS: A complex picture is emerging in which enteral nutritional support may be important early in the course of the disease with parenteral nutrition being used more as a backup and possibly only after the systemic inflammatory response has peaked. Nasogastric feeding, sometimes supplemented by parenteral nutrition, is as efficacious as nasojejunal feeding. An individualized approach, in which strategies of nutritional support are tailored to patient response, is gaining currency. Data regarding specialized formulae are mixed but the use of prebiotics is showing promise and is worthy of further exploration. In the convalescent period, preliminary data also indicate that the risk of pain developing is no greater if a light diet is instituted rather than clear fluids. SUMMARY: Nutritional support in acute pancreatitis remains challenging and controversial with a number of different and unexpected approaches, including the use of nasogastric feeding and dual enteral and parenteral nutrition support, being adopted in recent clinical trials. SN - 1363-1950 UR - https://www.unboundmedicine.com/medline/citation/18403922/Nutritional_support_in_acute_pancreatitis_ L2 - https://doi.org/10.1097/MCO.0b013e3282fba5b4 DB - PRIME DP - Unbound Medicine ER -