title: [Nutritional therapy in acute pancreatitis].
abstract: Acute pancreatitis is a frequent clinical entity in the West. About 80% of patients with acute pancreatitis develop edematous pancreatitis, while 20% develop necrotizing pancreatitis: The latter is a potentially life-threatening disease. In this case, early enteral nutrition has been shown to improve the course of the disease. Usually, gastric enteral nutrition with a polymeric formula via a nasogastric tube is possible; only in a minority of patients is jejunal feeding necessary owing to the high gastric residual volume. An elemental formula is useful for patients with significant intestinal maldigestion. If enteral feeding is not feasible within 5-7 days, (additional) parenteral nutrition has to be considered. Individualized--primary enteral--nutritional support is an essential part of a multimodal therapy in severe acute pancreatitis and it improves clinical outcome.
authors.affiliation: Medizinische Klinik II m. S. Gastroenterologie, Endokrinologie und Ernährungsmedizin, Klinikum Bremen Mitte, St.-Juergen-Str. 1, 28177, Bremen, Deutschland. johann.ockenga@klinikum-bremen-mitte.de
authors.forename: J
authors.initials: J
authors.lastname: Ockenga
mesh_terms: D000596:Amino Acids / Q000378:metabolism; D000975:Antioxidants / Q000008:administration & dosage; D003131:Combined Modality Therapy; D003422:Critical Care / Q000379:methods*; D002149:Energy Intake / Q000502:physiology; D004750:Enteral Nutrition / Q000379:methods*; D005526:Food, Formulated; D006801:Humans; D009751:Nutritional Requirements / Q000502:physiology; D010184:Pancreatic Extracts / Q000008:administration & dosage; D019283:Pancreatitis, Acute Necrotizing / Q000503:physiopathology / Q000628:therapy*; D010289:Parenteral Nutrition, Total / Q000379:methods*; D011379:Prognosis; D016896:Treatment Outcome
chemical_list: D000596:Amino Acids; D000975:Antioxidants; D010184:Pancreatic Extracts; C030621:pancreozyme