Nutrition in acute pancreatitis: a critical review

Piet J. Lodewijkx; Marc G. Besselink; Ben J. Witteman; Nicolien J. Schepers; Hein G. Gooszen; Hjalmar C. van Santvoort; Olaf J. Bakker

doi:https://doi.org/10.1586/17474124.2016.1141048

Nutrition in acute pancreatitis: a critical review

Piet J. Lodewijkx, Marc G. Besselink, Ben J. Witteman, Nicolien J. Schepers, Hein G. Gooszen, Hjalmar C. van Santvoort, Olaf J. Bakker

Surgery (AMC)

Research output: Contribution to journal › Review article › Academic › peer-review

45 Citations (Scopus)

Abstract

Severe acute pancreatitis poses unique nutritional challenges. The optimal nutritional support in patients with severe acute pancreatitis has been a subject of debate for decades. This review provides a critical review of the available literature. According to current literature, enteral nutrition is superior to parenteral nutrition, although several limitations should be taken into account. The optimal route of enteral nutrition remains unclear, but normal or nasogastric tube feeding seems safe when tolerated. In patients with predicted severe acute pancreatitis an on-demand feeding strategy is advised and when patients do not tolerate an oral diet after 72 hours, enteral nutrition can be started. The use of supplements, both parenteral as enteral, are not recommended. Optimal nutritional support in severe cases often requires a tailor-made approach with day-to-day evaluation of its effectiveness

Original language	English
Pages (from-to)	571-580
Journal	Expert review of gastroenterology & hepatology
Volume	10
Issue number	5
DOIs	https://doi.org/10.1586/17474124.2016.1141048
Publication status	Published - 2016

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https://doi.org/10.1586/17474124.2016.1141048

Cite this

@article{02ab808797fe4c41a58159f263deafab,

title = "Nutrition in acute pancreatitis: a critical review",

abstract = "Severe acute pancreatitis poses unique nutritional challenges. The optimal nutritional support in patients with severe acute pancreatitis has been a subject of debate for decades. This review provides a critical review of the available literature. According to current literature, enteral nutrition is superior to parenteral nutrition, although several limitations should be taken into account. The optimal route of enteral nutrition remains unclear, but normal or nasogastric tube feeding seems safe when tolerated. In patients with predicted severe acute pancreatitis an on-demand feeding strategy is advised and when patients do not tolerate an oral diet after 72 hours, enteral nutrition can be started. The use of supplements, both parenteral as enteral, are not recommended. Optimal nutritional support in severe cases often requires a tailor-made approach with day-to-day evaluation of its effectiveness",

author = "Lodewijkx, {Piet J.} and Besselink, {Marc G.} and Witteman, {Ben J.} and Schepers, {Nicolien J.} and Gooszen, {Hein G.} and {van Santvoort}, {Hjalmar C.} and Bakker, {Olaf J.}",

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T1 - Nutrition in acute pancreatitis: a critical review

AU - Lodewijkx, Piet J.

AU - Besselink, Marc G.

AU - Witteman, Ben J.

AU - Schepers, Nicolien J.

AU - Gooszen, Hein G.

AU - van Santvoort, Hjalmar C.

AU - Bakker, Olaf J.

PY - 2016

Y1 - 2016

N2 - Severe acute pancreatitis poses unique nutritional challenges. The optimal nutritional support in patients with severe acute pancreatitis has been a subject of debate for decades. This review provides a critical review of the available literature. According to current literature, enteral nutrition is superior to parenteral nutrition, although several limitations should be taken into account. The optimal route of enteral nutrition remains unclear, but normal or nasogastric tube feeding seems safe when tolerated. In patients with predicted severe acute pancreatitis an on-demand feeding strategy is advised and when patients do not tolerate an oral diet after 72 hours, enteral nutrition can be started. The use of supplements, both parenteral as enteral, are not recommended. Optimal nutritional support in severe cases often requires a tailor-made approach with day-to-day evaluation of its effectiveness

AB - Severe acute pancreatitis poses unique nutritional challenges. The optimal nutritional support in patients with severe acute pancreatitis has been a subject of debate for decades. This review provides a critical review of the available literature. According to current literature, enteral nutrition is superior to parenteral nutrition, although several limitations should be taken into account. The optimal route of enteral nutrition remains unclear, but normal or nasogastric tube feeding seems safe when tolerated. In patients with predicted severe acute pancreatitis an on-demand feeding strategy is advised and when patients do not tolerate an oral diet after 72 hours, enteral nutrition can be started. The use of supplements, both parenteral as enteral, are not recommended. Optimal nutritional support in severe cases often requires a tailor-made approach with day-to-day evaluation of its effectiveness

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DO - https://doi.org/10.1586/17474124.2016.1141048

M3 - Review article

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SN - 1747-4132

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