Tags

Type your tag names separated by a space and hit enter

What is the best way to feed patients with pancreatitis?
Curr Opin Crit Care. 2009 Apr; 15(2):131-8.CO

Abstract

PURPOSE OF REVIEW

Patients with acute pancreatitis have traditionally been treated with 'bowel rest'. Recent data, however, suggest that this approach may be associated with increased morbidity and mortality. This paper reviews evolving concepts in the nutritional management of patients with acute pancreatitis.

RECENT FINDINGS

Both experimental and clinical data strongly support the concept that enteral nutrition started within 24 h of admission to hospital reduces complications, length of hospital stay and mortality in patients with acute pancreatitis. Clinical trials suggest that both gastric and jejunal tube feeding is well tolerated in patients with severe pancreatitis. Although there is limited data for the optimal type of enteral feed, a semielemental formula with omega-3 fatty acids is recommended. On the basis of current evidence, immune modulating formulas with added arginine and probiotics are not recommended.

SUMMARY

Nutritional support should be viewed as an active therapeutic intervention that improves the outcome of patients with acute pancreatitis. Enteral nutrition should begin within 24 h after admission and following the initial period of volume resuscitation and control of nausea and pain. Patients with mild acute pancreatitis should be started on a low-fat oral diet. In patients with severe acute pancreatitis, enteral nutrition may be provided by the gastric or jejunal route.

Authors+Show Affiliations

Division of Pulmonary and Critical Care Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA. paul.marik@jefferson.edu

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

19300086

Citation

Marik, Paul E.. "What Is the Best Way to Feed Patients With Pancreatitis?" Current Opinion in Critical Care, vol. 15, no. 2, 2009, pp. 131-8.
Marik PE. What is the best way to feed patients with pancreatitis? Curr Opin Crit Care. 2009;15(2):131-8.
Marik, P. E. (2009). What is the best way to feed patients with pancreatitis? Current Opinion in Critical Care, 15(2), 131-8. https://doi.org/10.1097/MCC.0b013e328319910a
Marik PE. What Is the Best Way to Feed Patients With Pancreatitis. Curr Opin Crit Care. 2009;15(2):131-8. PubMed PMID: 19300086.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - What is the best way to feed patients with pancreatitis? A1 - Marik,Paul E, PY - 2009/3/21/entrez PY - 2009/3/21/pubmed PY - 2009/10/29/medline SP - 131 EP - 8 JF - Current opinion in critical care JO - Curr Opin Crit Care VL - 15 IS - 2 N2 - PURPOSE OF REVIEW: Patients with acute pancreatitis have traditionally been treated with 'bowel rest'. Recent data, however, suggest that this approach may be associated with increased morbidity and mortality. This paper reviews evolving concepts in the nutritional management of patients with acute pancreatitis. RECENT FINDINGS: Both experimental and clinical data strongly support the concept that enteral nutrition started within 24 h of admission to hospital reduces complications, length of hospital stay and mortality in patients with acute pancreatitis. Clinical trials suggest that both gastric and jejunal tube feeding is well tolerated in patients with severe pancreatitis. Although there is limited data for the optimal type of enteral feed, a semielemental formula with omega-3 fatty acids is recommended. On the basis of current evidence, immune modulating formulas with added arginine and probiotics are not recommended. SUMMARY: Nutritional support should be viewed as an active therapeutic intervention that improves the outcome of patients with acute pancreatitis. Enteral nutrition should begin within 24 h after admission and following the initial period of volume resuscitation and control of nausea and pain. Patients with mild acute pancreatitis should be started on a low-fat oral diet. In patients with severe acute pancreatitis, enteral nutrition may be provided by the gastric or jejunal route. SN - 1531-7072 UR - https://www.unboundmedicine.com/medline/citation/19300086/What_is_the_best_way_to_feed_patients_with_pancreatitis DB - PRIME DP - Unbound Medicine ER -