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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 21, 2014; 20(43): 16123-16131
Published online Nov 21, 2014. doi: 10.3748/wjg.v20.i43.16123
Published online Nov 21, 2014. doi: 10.3748/wjg.v20.i43.16123
Enteral nutrition in acute pancreatitis: A review of the current evidence
Attila Oláh, Department of Surgery, Petz Aladár Teaching Hospital, H-9023 Győr, Hungary
Laszlo Romics Jr, Department of Surgery, Glasgow Victoria Infirmary, Glasgow G42 9TY, United Kingdom
Author contributions: Oláh A designed research; Oláh A and Romics Jr L performed literature search, analyzed data and wrote the paper.
Correspondence to: Attila Oláh, MD, PhD, MRCS, Department of Surgery, Petz Aladár Teaching Hospital, P.O. Box 92, H-9023 Győr, Hungary. olaha@petz.gyor.hu
Telephone: +36-96-418244 Fax: +36-96-507907
Received: February 11, 2014
Revised: May 5, 2014
Accepted: July 22, 2014
Published online: November 21, 2014
Revised: May 5, 2014
Accepted: July 22, 2014
Published online: November 21, 2014
Core Tip
Core tip: The application of enteral feeding in acute pancreatitis is much debated. This systematic review provides global insight for clinicians on how to incorporate enteral feeding in the management of acute pancreatitis. The timing, route and composition of enteral nutrition are discussed with up-to-date evidence-based data, and the latest relevant guidelines are also detailed. Importantly, enteral nutrition significantly reduces mortality in severe acute pancreatitis compared to parenteral nutrition. Furthermore, early commencement of enteral feeding (within the first 24 h) is beneficial, and the safety of the nasogastric route seems to be equal to that of the nasojejunal route.