The Role of nutrition management in the treatment of acute pancreatitis – comprehensive review
Introduction and purpose The treatment of acute pancreatitis remains a clinically significant problem worldwide, as well as in Poland, where the incidence of the condition is nearly twice as high as in the global population. The aim of this study is to present the latest available guidelines regar...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Kazimierz Wielki University
2023-09-01
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| Series: | Journal of Education, Health and Sport |
| Subjects: | |
| Online Access: | https://apcz.umk.pl/JEHS/article/view/45738 |
| _version_ | 1797682915483582464 |
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| author | Marcel Kazzi Jan Bieniasz Konrad Dendys Michał Puła Marta Wychota |
| author_facet | Marcel Kazzi Jan Bieniasz Konrad Dendys Michał Puła Marta Wychota |
| author_sort | Marcel Kazzi |
| collection | DOAJ |
| description | Introduction and purpose
The treatment of acute pancreatitis remains a clinically significant problem worldwide, as well as in Poland, where the incidence of the condition is nearly twice as high as in the global population. The aim of this study is to present the latest available guidelines regarding conservative management of patients diagnosed with acute pancreatitis, focusing on nutritional management and treatment methods.
Materials and methods:
The literature available in PubMed, Scopus, Google Scholar databases, and guidelines from the European Society for Clinical Nutrition and Metabolism (ESPEN) was reviewed using the following keywords: "acute pancreatitis," "AP treatment," "nutritional treatment of acute pancreatitis," "enteral nutrition," "parenteral nutrition."
Description of the state of knowledge:
The approach to conservative treatment for acute pancreatitis has evolved over the years. Previously, the preferred route of feeding was parenteral with limited lipid content, aimed at reducing the stress on the pancreas. Current guidelines emphasize the superiority of enteral nutrition using a complete nutritional composition.
Conclusions:
The latest guidelines highlight the advantage of enteral nutrition over parenteral nutrition, with implementation within 48 hours of diagnosis. This approach reduces mortality, the risk of complications, and the duration of hospital stay for patients. The appropriate caloric intake should be adjusted to the individual needs of the patient, considering the severity of the disease and coexisting conditions. Meeting the patient's energy requirements, along with the choice of administration method and precise composition of nutritional formulas, play a crucial role in therapy.
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| first_indexed | 2024-03-12T00:06:49Z |
| format | Article |
| id | doaj.art-0cabcb421a9c4aacbcb604833df032fd |
| institution | Directory Open Access Journal |
| issn | 2391-8306 |
| language | English |
| last_indexed | 2024-03-12T00:06:49Z |
| publishDate | 2023-09-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj.art-0cabcb421a9c4aacbcb604833df032fd2023-09-16T10:49:09ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-09-0117110.12775/JEHS.2023.17.01.020The Role of nutrition management in the treatment of acute pancreatitis – comprehensive reviewMarcel Kazzi0Jan Bieniasz1Konrad Dendys2Michał Puła3Marta Wychota4Lower Silesian Oncology, Pulmonology and Hematology Center, Hirszfelda sq. 12, 53-413 WrocławJan Mikulicz-Radecki University Teaching Hospital Borowska 213, 50-556 WrocławJan Mikulicz-Radecki University Teaching Hospital Borowska 213, 50-556 Wrocław; 4Lower Silesian Oncology, Pulmonology and Hematology Center, Hirszfelda sq. 12, 53-413 WrocławLower Silesian Oncology, Pulmonology and Hematology Center, Hirszfelda sq. 12, 53-413 WrocławIntroduction and purpose The treatment of acute pancreatitis remains a clinically significant problem worldwide, as well as in Poland, where the incidence of the condition is nearly twice as high as in the global population. The aim of this study is to present the latest available guidelines regarding conservative management of patients diagnosed with acute pancreatitis, focusing on nutritional management and treatment methods. Materials and methods: The literature available in PubMed, Scopus, Google Scholar databases, and guidelines from the European Society for Clinical Nutrition and Metabolism (ESPEN) was reviewed using the following keywords: "acute pancreatitis," "AP treatment," "nutritional treatment of acute pancreatitis," "enteral nutrition," "parenteral nutrition." Description of the state of knowledge: The approach to conservative treatment for acute pancreatitis has evolved over the years. Previously, the preferred route of feeding was parenteral with limited lipid content, aimed at reducing the stress on the pancreas. Current guidelines emphasize the superiority of enteral nutrition using a complete nutritional composition. Conclusions: The latest guidelines highlight the advantage of enteral nutrition over parenteral nutrition, with implementation within 48 hours of diagnosis. This approach reduces mortality, the risk of complications, and the duration of hospital stay for patients. The appropriate caloric intake should be adjusted to the individual needs of the patient, considering the severity of the disease and coexisting conditions. Meeting the patient's energy requirements, along with the choice of administration method and precise composition of nutritional formulas, play a crucial role in therapy. https://apcz.umk.pl/JEHS/article/view/45738acute pancreatitispancreanutritionenteral nutritionparenteral nutrition |
| spellingShingle | Marcel Kazzi Jan Bieniasz Konrad Dendys Michał Puła Marta Wychota The Role of nutrition management in the treatment of acute pancreatitis – comprehensive review Journal of Education, Health and Sport acute pancreatitis pancrea nutrition enteral nutrition parenteral nutrition |
| title | The Role of nutrition management in the treatment of acute pancreatitis – comprehensive review |
| title_full | The Role of nutrition management in the treatment of acute pancreatitis – comprehensive review |
| title_fullStr | The Role of nutrition management in the treatment of acute pancreatitis – comprehensive review |
| title_full_unstemmed | The Role of nutrition management in the treatment of acute pancreatitis – comprehensive review |
| title_short | The Role of nutrition management in the treatment of acute pancreatitis – comprehensive review |
| title_sort | role of nutrition management in the treatment of acute pancreatitis comprehensive review |
| topic | acute pancreatitis pancrea nutrition enteral nutrition parenteral nutrition |
| url | https://apcz.umk.pl/JEHS/article/view/45738 |
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