Kumar Soma, Gariepy Cheryl E
Division of Gastroenterology, Hepatology and Nutrition, Nationwide Children's Hospital, Columbus, OH 43205, USA.
Curr Gastroenterol Rep. 2013 Aug;15(8):338. doi: 10.1007/s11894-013-0338-0.
Acute pancreatitis is being diagnosed more frequently in pediatrics and there is limited published research to guide management. In contrast, multiple prospective studies in the adult population have resulted in significant changes in the way the disease is managed, especially with regard to severe disease. The nutritional management of pediatric acute pancreatitis appears to lag behind current adult recommendations, likely resulting from a lack of awareness of the adult data, inherent differences between pediatric and adult pancreatitis, and the paucity of research performed in children. The purpose of this review is to examine the adult literature regarding the nutritional management of acute pancreatitis and discuss the possible relevance of this data in the pediatric population.
急性胰腺炎在儿科的诊断越来越频繁，但关于其治疗的已发表研究有限。相比之下，针对成人患者的多项前瞻性研究已使该疾病的治疗方式发生了重大变化，尤其是在重症疾病方面。儿科急性胰腺炎的营养管理似乎落后于当前成人的建议，这可能是由于对成人数据缺乏认识、儿科和成人胰腺炎存在内在差异以及针对儿童的研究匮乏所致。本综述的目的是审视有关急性胰腺炎营养管理的成人文献，并讨论这些数据在儿科患者中的可能相关性。
