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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.
29 lis 2023 · The recently published guideline from European Society for Clinical Nutrition and Metabolism (ESPEN) provided specific recommendations focused on clinical nutrition for patients with acute or chronic pancreatitis to fulfill the gap .
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.
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].
1) To detect nutritional disturbances at an early stage, we recom-mend to regularly evaluate nutritional intake, weight change, and body mass index (BMI), beginning with cancer diagnosis and repeated depending on the stability of the clinical situation. (Recommendation B1-1; strength of recommendation strong.
23 sty 2021 · These evidence-based guidelines were developed to translate current best evidence and expert opinion into recommendations for multi-disciplinary teams responsible for the identification, prevention, and treatment of reversible elements of malnutrition in adult cancer patients.
7 sie 2021 · Results. The panel established different recommendations focused on nutritional screening and nutritional screening tools, MNT strategies according to PC status, and MNT in palliative treatment. Conclusions. There is an unmet need to integrate nutritional therapy as a crucial part of the multimodal care process in PC patients.