Nutritional supplementation in enteral and parenteral nutrition for people with acute pancreatitis

Martino, Marcello Di; Madden, Angela; Gurusamy, Kurinchi Selvan

doi:10.1002/14651858.cd013250

Cited by 2 publications

(2 citation statements)

References 37 publications

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“…More studies with higher quality are necessary to clarify the possible influence of immunonutrition on the clinical course of AP. A new Cochrane systematic review whose protocol was published in 2019 is currently being developed [ 90 ].…”

Section: Acute Pancreatitismentioning

confidence: 99%

Nutritional Support in Pancreatic Diseases

2022

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This review summarizes the main pancreatic diseases from a nutritional approach. Nutrition is a cornerstone of pancreatic disease and is sometimes undervalued. An early identification of malnutrition is the first step in maintaining an adequate nutritional status in acute pancreatitis, chronic pancreatitis and pancreatic cancer. Following a proper diet is a pillar in the treatment of pancreatic diseases and, often, nutritional counseling becomes essential. In addition, some patients will require oral nutritional supplements and fat-soluble vitamins to combat certain deficiencies. Other patients will require enteral nutrition by nasoenteric tube or total parenteral nutrition in order to maintain the requirements, depending on the pathology and its consequences. Pancreatic exocrine insufficiency, defined as a significant decrease in pancreatic enzymes or bicarbonate until the digestive function is impaired, is common in pancreatic diseases and is the main cause of malnutrition. Pancreatic enzymes therapy allows for the management of these patients. Nutrition can improve the nutritional status and quality of life of these patients and may even improve life expectancy in patients with pancreatic cancer. For this reason, nutrition must maintain the importance it deserves.

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Section: Acute Pancreatitismentioning

confidence: 99%

Nutritional Support in Pancreatic Diseases

2022

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“…So, the role of IN in the nutritional support for SAP is questionable and needs further investigations. Di Martino et al [ 84 ] are going to assess the advantages and disadvantages of different types of nutritional supplementation such as Gln, Arg, PUFA, and nucleotides in EN and PN in AP patients. A research protocol of a planned large meta-analysis was described in Cochrane Database Systematical Review in 2019 [ 84 ].…”

Section: Immunomodulating Nutrition (In) In Sap Patientsmentioning

confidence: 99%

Nutritional Support in Patients with Severe Acute Pancreatitis-Current Standards

Jabłońska

Mrowiec

2021

Nutrients

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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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Nutritional supplementation in enteral and parenteral nutrition for people with acute pancreatitis

Cited by 2 publications

References 37 publications

Nutritional Support in Pancreatic Diseases

Nutritional Support in Pancreatic Diseases

Nutritional Support in Patients with Severe Acute Pancreatitis-Current Standards

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