Nutrition management in acute pancreatitis: Clinical practice consideration

查看全文 作　　者：Narisorn [1,2]Lakananurak;Leah [1]Gramlich

机构地区：[1]Leah Gramlich,Department of Medicine,University of Alberta,Edmonton T6G 2R3,Alberta,Canada;[2]Department of Medicine,Faculty of Medicine,Chulalongkorn University,Bangkok 10330,Thailand

出　　处：《World Journal of Clinical Cases》索引2020年第8卷第9期,共13页

摘　　要：Acute pancreatitis(AP)is a common gastrointestinal disease and the leading cause of hospital admission and healthcare burden among gastrointestinal disorders in many countries.Patients can present with varying degrees of inflammation and disease severity,ranging from self-limiting mild AP to devastating and fatal severe AP.Many factors contribute to malnutrition in AP,especially abnormal metabolism and catabolism related to inflammation.The concept of“pancreatic rest”is not evidence-based.There is however,emerging evidence that supports the use of oral or enteral nutrition to improve nutrition status and to reduce local and systemic inflammation,complications,and death.In mild disease,patients are generally able to initiate solid oral diet and do not require specialized nutrition care such as enteral or parenteral nutrition.In contrast,nutrition interventions are imperative in moderately severe and severe AP.The current article aims to review the latest evidence and suggest practical nutrition interventions in patients with AP,including nutrition requirements,routes of nutrition treatment,types of formula,and the role of nutritional supplements,such as glutamine,probiotics,omega-3 fatty acids,and antioxidants. 关键词：Acute PANCREATITIS NUTRITION management ENTERAL NUTRITION PARENTERAL NUTRITION NUTRITIONAL SUPPLEMENT NUTRITION assessment

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Nutrition management in acute pancreatitis: Clinical practice consideration

参考文献(77)

引证文献(36)

耦合文献(62)

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