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Both acute and chronic pancreatitis are frequent diseases of the pancreas, which, despite being of benign nature, are related to a significant risk of malnutrition and may require nutritional support.
The present practical guideline consists of 42 recommendations and six statements and is based on the aforementioned ESPEN guideline on clinical nutrition in acute and chronic pancreatitis [6]. The original guideline was shortened by focusing the commen-taries on the evidence and literature on which the recommenda-tions are based on.
4 lut 2018 · This document presents the official recommendations of the American Gastroenterological Association (AGA) on the initial management of acute pancreatitis (AP). The guideline was developed by the AGA’s Clinical Practice Guideline Committee and approved by the AGA Governing Board.
In cases of mild pancreatitis, enteral nutrition should be recommenced as soon as abdominal pain has subsided.44 In severe pancreatitis, patients should be kept nil by mouth until fully resuscitated, usually after 48 hours, at which point normal enteral diet (if tolerated) or enteral tube feeding should be commenced.26 Two meta-analyses have ...
22 sty 2020 · Acute necrotizing pancreatitis is encountered in 20% of patients with acute pancreatitis, is associated with increased morbidity and mortality, and may require artificial nutrition by enteral or parenteral route, as well as additional endoscopic, radiological or surgical interventions.
Key points. •. Most patients with acute pancreatitis have a self-limiting disease that resolves with simple supportive measures. •. Patients with organ dysfunction should be managed in conjunction with critical care. Those with severe acute pancreatitis should be discussed with regional specialist pancreatic units. •.
29 lis 2023 · Patients with acute pancreatitis should be considered at moderate to high nutritional risk, because of the catabolic nature of the disease and because of the impact of the nutritional status for disease development.
