内镜医师对胰腺炎患者营养问题的处理方法。
Endoscopist's approach to nutrition in the patient with pancreatitis.
作者信息
Iqbal Shahzad, Babich Jay P, Grendell James H, Friedel David M
机构信息
Shahzad Iqbal, Jay P Babich, James H Grendell, David M Friedel, Department of Medicine, Division of Gastroenterology, Winthrop University Hospital, Mineola, NY 11501, United States.
出版信息
World J Gastrointest Endosc. 2012 Dec 16;4(12):526-31. doi: 10.4253/wjge.v4.i12.526.
Nutritional therapy has an important role in the management of patient with severe acute pancreatitis. This article reviews the endoscopist's approach to manage nutrition in such cases. Enteral feeding has been clearly validated as the preferred route of feeding, and should be started early on admission. Parenteral nutrition should be reserved for patients with contraindications to enteral feeding such as small bowel obstruction. Moreover, nasogastric feeding is safe and as effective as nasojejunal feeding. If a prolonged course of enteral feeding (> 30 d) is required, endoscopic placement of feeding gastrostomy or jejunostomy tubes should be considered.
营养治疗在重症急性胰腺炎患者的管理中具有重要作用。本文综述了内镜医师在这类病例中进行营养管理的方法。肠内营养已被明确证实为首选的喂养途径，应在入院后尽早开始。肠外营养应仅用于有肠内营养禁忌证的患者，如小肠梗阻。此外，鼻胃管喂养是安全的，且与鼻空肠管喂养效果相同。如果需要长时间的肠内营养（>30天），应考虑内镜下放置胃造口或空肠造口喂养管。
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