Evolution of nutritional support in acute pancreatitis

Lobo, DN, Memon, MA, Allison, SP and Rowlands, BJ (2000) Evolution of nutritional support in acute pancreatitis. British Journal of Surgery, 87 6: 695-707. doi:10.1046/j.1365-2168.2000.01463.x


Author Lobo, DN
Memon, MA
Allison, SP
Rowlands, BJ
Title Evolution of nutritional support in acute pancreatitis
Journal name British Journal of Surgery   Check publisher's open access policy
ISSN 0007-1323
1365-2168
Publication date 2000-06
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1046/j.1365-2168.2000.01463.x
Open Access Status Not Open Access
Volume 87
Issue 6
Start page 695
End page 707
Total pages 13
Place of publication Chichester, West Sussex, United Kingdom
Publisher John Wiley & Sons
Language eng
Formatted abstract
Background:
Acute pancreatitis is a catabolic illness and patients with the severe form have high metabolic and nutrient demands. Artificial nutritional support should therefore be a logical component of treatment. This review examines the evidence in favour of initiating nutritional support in these patients and the effects of such support on the course of the disease.

Methods:
Medline and Science Citation Index searches were performed to locate English language publications on nutritional support in acute pancreatitis in the 25 years preceding December 1999. Manual cross-referencing was also carried out. Letters, editorials, older review articles and most case reports were excluded.

Results and conclusion:
There is no evidence that nutritional support in acute pancreatitis affects the underlying disease process, but it may prevent the associated undernutrition and starvation, supporting the patient while the disease continues and until normal and sufficient eating can be resumed. The safety and feasibility of enteral nutrition in acute pancreatitis have been established; enteral nutrition may even be superior to parenteral nutrition. Some patients, however, cannot tolerate enteral feeding and this route may not be practical in others. Parenteral nutrition still has a role, either on its own or in combination with the oral and enteral routes, depending on the stage of the illness and the clinical situation.
Keyword Total parenteral-nutrition
Critically ill patients
Acute necrotizing pancreatitis
Enteral nutrition
Amino acids
Alcoholic pancreatitis
Q-Index Code C1
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Medicine Publications
 
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