Document Detail

Nutritional management of acute pancreatitis.
MedLine Citation:
PMID:  11900676     Owner:  NLM     Status:  MEDLINE    
Most patients with acute pancreatitis have mild to moderate disease and require no specialized nutritional support. Twenty percent to 30% have severe cases, resulting in a catabolic hypermetabolic state, and these patients may require early aggressive nutritional support. Traditionally, this support has been in the form of total parenteral nutrition. However, recent data suggest that enteral nutrition infused into the jejunum is feasible, well tolerated, associated with fewer complications, and significantly less expensive than parenteral nutrition. The pathophysiology of gut function in acute pancreatitis and the rationale and evidence for parenteral and enteral nutritional support are reviewed herein. An algorithm on the nutritional management of acute pancreatitis is suggested.
John Fang; James A DiSario
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current gastroenterology reports     Volume:  4     ISSN:  1522-8037     ISO Abbreviation:  Curr Gastroenterol Rep     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2002-03-19     Completed Date:  2002-07-16     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  100888896     Medline TA:  Curr Gastroenterol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  120-7     Citation Subset:  IM    
Department of Gastroenterology, University of Utah Health Sciences Center, 30 North 1900 East, Room 4R118, Salt Lake City, UT 84132, USA.
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MeSH Terms
Acute Disease
Enteral Nutrition* / adverse effects,  methods
Pancreas / physiology,  secretion
Pancreatitis / physiopathology,  therapy*
Parenteral Nutrition, Total* / adverse effects,  methods
Severity of Illness Index

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