Progress in Early Nutritional Support in Acute Pancreatitis

Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v5i4.3286

Yungui Gao¹, Zeyu Liu¹, Quanlong Liu¹, Bin Fan², Shengli Huang³

1. North China University of Science and Technology, Tangshan 063210, Hebei, China
2. The First Affiliated Hospital of PLA Air Force Military Medical University, Department of Hepatobiliary Surgery, Xi'an 710000, Shaanxi, China
3. Department of Gastrointestinal Oncology, Affiliated Hospital of North China University of Science and Technology, Tangshan 063000, Hebei, China

Abstract

Acute pancreatitis (acute pancreatitis, AP) is an inflammatory reaction caused by cholelithiasis, alcohol, tumor and other factors of pancreatic enzymes, which causes digestion, edema, bleeding and even necrosis. Usually characterized by acute epigastric pain, nausea, vomiting, fever and elevated hematuria amylase, and low back pain, severe patients may experience shock, even multiple organ failure and death. Nowadays, in clinical work, AP patients are usually treated with fasting water, but there is no clear indicator on when and how to open the diet. At present, according to domestic and foreign guidelines and relevant literature, the following can be clearly indicated. ① AP patients should resume solid diet as soon as possible according to their actual tolerance, so as to minimize the risk of infection and death. ② If the patient's oral energy cannot meet their own needs, enteral feeding should be started as soon as possible within 24 to 72 h. ③ TPN/NPO is only indicated for patients with contraindications to enteral nutrition, such as persistent paralytic ileus.

Keywords

Acute pancreatitis, Early nutritional support, Clinical

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