Severe acute pancreatitis and enteral nutrition / 中华临床营养杂志

ABSTRACT

Severe acute pancreatitis is an acute and severe disease commonly seen in clinical practice, with high fatality rate and characteristic high metabolism and excessive inflammatory response show the importance and particularity of nutritional therapy. Enteral nutrition is the primary nutritional support for severe acute pancreatitis, and there is much evidence to support its early use to improve clinical outcomes. However, no a greement has been reached on the timing, feeding site and formula selection of enteral nutrition. This paper reviews the latest progress in the study of enteral nutrition in severe acute pancreatitis, combined with clinical practice, it is believed that enteral nutritionis the first choice and important nutritional support for severe acute pancreatitis patients. Better clinical benefits can be obtained by starting enteral nutrition in time after the hemo dynamics is basically stable, but should not be limited to 24 or 48 hours. Gastric feeding, including oral administration for some patients, is the current trend of enteral nutritionpathway in SAP patients, and nasojejunal tube feeding can be selected after gastric emptying disorders. Eenteral nutrition in severe acute pancreatitis can be selected as a standard preparation of whole protein (without dietary fiber), and there is insufficient evidence to add probiotics and immune nutrients (glutamine, omega-3 fatty acids).