COMMENTARY
See article on page 431
Feeding the inflamed pancreas
| The first 150 words of the full text of this article appear below. |
There is a renewed awareness of the detrimental impact of
undernutrition on organ function and clinical outcome. There is also
evidence that in some clinical circumstances nutritional support will
reverse nutritional depletion and improve recovery.1 Nutritional recovery may not be achieved in the metabolically stressed
patient.2 The effects of nutritional depletion occur early,3 and subsequent recovery may be prolonged in the
severely depleted patient.4 Thus, there is emphasis on
early nutritional intervention to prevent or retard the development of
malnutrition in patients who are unable to eat or absorb an adequate
oral diet. The British Society of Gastroenterology guidelines suggest
that such patients should not be deprived of nutrition for more than seven days, and that nutritional support should be considered earlier
in patients who are already malnourished or who are metabolically stressed.5 The conventional management of patients with
acute pancreatitis includes parenteral nutrition, which is instituted early in the
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- Compared with parenteral nutrition, enteral feeding attenuates the acute phase response and improves disease severity in acute pancreatitis
- A C J Windsor, S Kanwar, A G K Li, E Barnes, J A Guthrie, J I Spark, F Welsh, P J Guillou, and J V Reynolds
Gut 1998 42: 431-435.[Abstract] [Full Text] [PDF]
This article has been cited by other articles:
-
American Society for Parenteral and Enteral Nutrit,
(2002). Guidelines for the Use of Parenteral and Enteral Nutrition in Adult and Pediatric Patients. JPEN J Parenter Enteral Nutr
26: 1SA-138SA
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