Nutrition in acute pancreatitis

Table 1 Contraindications of enteral nutrition[22]

Contraindications of EN
Uncontrolled shock (low dose EN can be initiated once the shock is controlled with fluids and vasopressors with close monitoring for any signs of bowel ischemia).
Uncontrolled hypoxemia, hypercapnia, or acidosis (EN can be initiated in patients with stable hypoxemia, and compensated or permissive hypercapnia and acidosis.)
Active upper gastrointestinal bleeding (EN can be initiated once bleeding is controlled)
Gastric aspirate of > 500 mL/6 h
Abdominal compartment syndrome or intra-abdominal pressure of > 20 mm Hg
Bowel obstruction or ileus
Bowel ischemia
High-output fistula without distal feeding access

EN: Enteral nutrition.