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Nutritional Support in Patients with Severe Acute Pancreatitis-Current Standards.

Authors
  • Jabłońska, Beata1
  • Mrowiec, Sławomir1
  • 1 Department of Digestive Tract Surgery, Medical University of Silesia, Medyków 14 St., 40752 Katowice, Poland. , (Poland)
Type
Published Article
Journal
Nutrients
Publisher
MDPI AG
Publication Date
Apr 28, 2021
Volume
13
Issue
5
Identifiers
DOI: 10.3390/nu13051498
PMID: 33925138
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Severe acute pancreatitis (SAP) leads to numerous inflammatory and nutritional disturbances. All SAP patients are at a high nutritional risk. It has been proven that proper nutrition significantly reduces mortality rate and the incidence of the infectious complications in SAP patients. According to the literature, early (started within 24-48 h) enteral nutrition (EN) is optimal in most patients. EN protects gut barrier function because it decreases gastrointestinal dysmotility secondary to pancreatic inflammation. Currently, the role of parenteral nutrition (PN) in SAP patients is limited to patients in whom EN is not possible or contraindicated. Early versus delayed EN, nasogastric versus nasojejunal tube for EN, EN versus PN in SAP patients and the role of immunonutrition (IN) in SAP patients are discussed in this review.

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