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ESPEN Guidelines on Enteral Nutrition: Pancreas.
R Meier1, J Ockenga, M Pertkiewicz
1Department of Gastroenterology, Kantonsspital Liestal, Liestal, Switzerland. remy.meier@ksli.ch
Clinical Nutrition (Edinburgh, Scotland)
|May 9, 2006
Summary
Nutritional management for acute and chronic pancreatitis differs. This guideline recommends enteral nutrition (EN) for severe pancreatitis and oral nutritional supplements (ONS) or tube feeding (TF) for chronic pancreatitis when needed.
Area of Science:
- Gastroenterology
- Clinical Nutrition
Background:
- Acute and chronic pancreatitis necessitate distinct nutritional management strategies.
- This guideline provides evidence-based recommendations for oral nutritional supplements (ONS) and tube feeding (TF).
Framework:
- Developed by an interdisciplinary expert group adhering to official standards.
- Based on a comprehensive review of relevant publications since 1985.
- Discussed and accepted in a consensus conference.
Implementation:
- For mild acute pancreatitis, enteral nutrition (EN) is recommended only if normal food intake is impossible after 5-7 days.
- Severe necrotising pancreatitis requires EN, potentially supplemented by parenteral nutrition.
- Continuous TF with peptide-based formulae is often feasible, with jejunal feeding preferred if gastric feeding fails.
- Chronic pancreatitis management primarily involves normal food with pancreatic enzymes; ONS or TF are for specific patient subsets.
Implications:
- Establishes clear, evidence-based nutritional guidelines for pancreatitis patients.
- Optimizes patient outcomes through tailored nutritional support.
- Facilitates consistent clinical practice in managing inflammatory pancreatic diseases.