Clinical Gastroenterology Vol.29 No.8(5)

Theme Cutting-edge Nutrition Therapy for Supporting the Treatment of Gastrointestinal Disorders
Title Nutritional Support in Pancreatitis
Publish Date 2014/07
Author Miyuki Yanagimachi Department of Community Medicine, Hirosaki University Graduate School of Medicine
Author Yusuke Tando Department of Health Science, Hirosaki University Graduate School of Medicine
Author Teruo Nakamura Medical Center, Hirosaki Medical Association
[ Summary ] Treatment of acute pancreatitis and chronic pancreatitis requires nutritional support. Hypermetabolism and protein catabolism are seen in patients with severe acute pancreatitis. In patients with severe acute pancreatitis early enteral feeding to provide sufficient energy and protein provided a reduction in infectious complications and reduced hospital stay times. In cases of chronic pancreatitis, pancreatic dysfunction progresses gradually. In the compensated stage of chronic pancreatitis, abstinence from alcohol is necessary. Pain relief therapy is necessary to augment dietary intake. In the decompensated stage of chronic pancreatitis, supplementation of pancreatic enzymes and insulin therapy are required to achieve nutritional improvement.
back