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[Nutritional therapy in acute pancreatitis]
Toshihiko Mayumi1, Jun Takezawa
1Department of Emergency Medicine and Critical Care, Nagoya University School of Medicine.
Nihon Rinsho. Japanese Journal of Clinical Medicine
|November 24, 2004
Summary
Early enteral nutrition via nasojejunal tube is safe and effective for acute pancreatitis, even in severe cases. Parenteral nutrition offers no benefits for mild to moderate pancreatitis.
Area of Science:
- Gastroenterology
- Clinical Nutrition
- Surgical Nutrition
Context:
- Acute pancreatitis management guidelines
- Nutritional support in critical illness
- Evidence-based practice in gastroenterology
Purpose:
- To review and synthesize evidence from randomized controlled trials (RCTs) on nutritional interventions for acute pancreatitis.
- To compare the efficacy and safety of parenteral nutrition versus enteral nutrition.
- To evaluate nutritional strategies in mild, moderate, and severe acute pancreatitis cases.
Summary:
- A systematic literature review identified eleven RCTs on nutrition in acute pancreatitis.
- Parenteral nutrition showed no benefit in mild to moderate cases.
- Early enteral nutrition via nasojejunal tube demonstrated safety and effectiveness, even in severe pancreatitis without ileus or ischemia.
Impact:
- Findings challenge the routine use of parenteral nutrition in acute pancreatitis.
- Supports early enteral nutrition as a preferred nutritional strategy.
- Informs clinical practice guidelines for nutritional management of acute pancreatitis.