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  1. pancreatitis (ANP) may develop in up to 20% of patients and is associated with significant rates of early organ failure (38%), need for intervention (38%), and death (15%) [2].

  2. Acute necrotizing pancreatitis is encountered in 20 % of patients with acute pancreatitis, is associated with increased morbidity and mortality, and may require articial nutrition by enteral or parenteral route, as fi well as additional endoscopic, radiological or surgical interventions.

  3. 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].

  4. congress.espen.org › guidelines › espen-practical-guidelines-pdf-versionsESPEN Practical Guidelines (PDF Versions)

    ESPEN practical guideline: Clinical nutrition in surgery. Arved Weimann, Marco Braga, Franco Carli, Takashi Higashiguchi, Martin Hübner, Stanislaw Klek, Alessandro Laviano, Olle Ljungqvist, Dileep N Lobo, Robert G Martindale, Dan Waitzberg, Stephan C Bischoff, Pierre Singer. Clinical Nutrition 40 (2021) 4745-4761.

  5. 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 .

  6. 1 lut 2024 · Basic preventive measures should be advised to all patients with chronic pancreatitis including adequate calcium/vitamin D intake and, if indicated, pancreatic enzyme supplementation, regular weight-bearing exercise and smoking and alcohol avoidance.

  7. Despite increasing knowledge in the fields of metabo-lism, clinical nutrition, and intervention, there is still a lot of controversy with respect to the optimal approach concerning treatment regimens. It is generally accepted that nutritional management depends on the underlying pancreatic disease.

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