Abstract:
:The goal of nutritional support in acute pancreatitis is to reduce inflammation, prevent nutritional depletion, correct a negative nitrogen balance, and improve outcomes. Enteral nutrition (EN) in severe acute pancreatitis (SAP) should be preferred to parenteral nutrition. It maintains the integrity of the gut barrier, decreases intestinal permeability, downregulates the systemic inflammatory response, maintains intestinal microbiota equilibrium, and reduces the complications of the early phase of SAP, improving morbidity and possibly improving mortality, and it is less expensive. Further studies to understand optimal timing of nutrition, route of delivery of EN, and the type of nutrition and nutrients are necessary.
journal_name
Gastroenterol Clin North Amjournal_title
Gastroenterology clinics of North Americaauthors
Roberts KM,Nahikian-Nelms M,Ukleja A,Lara LFdoi
10.1016/j.gtc.2017.10.002subject
Has Abstractpub_date
2018-03-01 00:00:00pages
77-94issue
1eissn
0889-8553issn
1558-1942pii
S0889-8553(17)30136-Xjournal_volume
47pub_type
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