Navaneethan U, Jayanthi V
Department of Internal Medicine, University of Cincinnati Medical Center, Cincinnati, Ohio 45219, USA.
Minerva Gastroenterol Dietol. 2010 Mar;56(1):65-9.
Nutritional support in acute pancreatitis had always been a subject of great controversy in the past. The results of the recently published meta-analysis however have shown improved outcome with enteral feeding when compared to parenteral nutrition in patients with severe acute pancreatitis. However the time of initiation of oral feeds in acute pancreatitis is still a subject of controversy, given the fact that a large number of patients have a recurrence of abdominal pain when the oral feeds are initiated based on subjective parameters and the incident rise in duration of hospitalization and hospital costs. This brief communication highlights the present literature in the nutrition support in acute pancreatitis patients and discusses the future studies required to study the often neglected topic of nutrition therapy in acute pancreatitis.
在过去，急性胰腺炎的营养支持一直是一个极具争议的话题。然而，最近发表的荟萃分析结果显示，与肠外营养相比，在重症急性胰腺炎患者中采用肠内营养可改善预后。然而，鉴于大量患者在基于主观参数开始口服喂养时出现腹痛复发，以及住院时间和医院费用意外增加，急性胰腺炎口服喂养的起始时间仍是一个有争议的话题。这篇简短的通讯突出了目前关于急性胰腺炎患者营养支持的文献，并讨论了研究急性胰腺炎中常被忽视的营养治疗话题所需的未来研究。
