[Dietary treatment in acute pancreatitis].
Proper nourishment is one of the basic elements in treatment patients suffering from acute pancreatitis and that's why it should be introduced in early phase of the disease. Patients suffering from light pancreatitis don't need dietary treatment because regular nourishment being.introduced a few days after the disease has developed itself. The proper supply of nourishing elements is crucial to patients with acute or chronic pancreatities. In this group of patient intravenous feeding or enteral nutrition methods are being used. They work as self sufficient and independent methods or they complete one another. The most recommended is the oligomeric diet with glutamine. Despite constant controversy over nourishment, early enternal nutrition is said to be better than intravenous feeding. Due to protection of intestinal barrier the enternal nutrition decrease the translocation of bacteria and endotoxin and as a result decrease the possibility of pancreaties parenchyma. The analysis of randomized clinical studies shows the improvement of clinical treatment and the improvement of prognosis in the group of patients using enternal nutrition. The number of complications and mortality rate has also decreased in this group. It allows also to shorten the hospitalization and cut the treatment costs. The patients, which do not tolerate internal nutrition or which cannot put up with intestinal entrance are to be fed with intravenous feeding. Presented above positive results of acute panctreatitis treatment, which were achieved after using internal nutrition, are the best basis for introducing this method in clinical practice.
Wojskowy Instytut Medyczny w Warszawie, Klinika Gastroenterologii CSK MON. stanislaw61@poczta.onet.pl
Stanisław
S
Wojtuń
Jerzy
J
Gil
Antoni
A
Błaszak
D000208:Acute Disease; D018988:Bacterial Translocation / Q000502:physiology; D004750:Enteral Nutrition / Q000009:adverse effects / Q000191:economics / Q000592:standards; D006801:Humans; D007239:Infections / Q000178:diet therapy / Q000209:etiology; D007413:Intestinal Mucosa / Q000502:physiology / Q000503:physiopathology; D007422:Intestines / Q000502:physiology; D007902:Length of Stay; D052756:Nutritional Sciences; D018529:Nutritional Support / Q000191:economics; D017063:Outcome Assessment, Health Care; D010195:Pancreatitis / Q000150:complications / Q000178:diet therapy* / Q000601:surgery / Q000628:therapy; D019283:Pancreatitis, Acute Necrotizing / Q000178:diet therapy / Q000503:physiopathology; D010288:Parenteral Nutrition / Q000009:adverse effects / Q000191:economics; D011379:Prognosis; D015996:Survival Rate