Copyright
©The Author(s) 2020.
World J Clin Cases. May 6, 2020; 8(9): 1561-1573
Published online May 6, 2020. doi: 10.12998/wjcc.v8.i9.1561
Published online May 6, 2020. doi: 10.12998/wjcc.v8.i9.1561
Grade of severity | Criteria |
Mild | No organ failure |
No local or systemic complications | |
Moderately severe | Organ failure that resolves within 48 h (transient organ failure) and/or |
Local or systemic complications without persistent organ failure | |
Severe | Persistent organ failure (> 48 h) |
Single organ failure | |
Multiple organ failure |
Recommendation | Areas for future research |
Energy requirement should be measured by IC, or 25 kcal/kg/d may be used | Role of on-demand oral diet |
Protein requirements are 1.2-1.5 g/kg/d | Polymeric formula vs elemental/semi- elemental formula |
Early EN within 48 h is recommended | Timing and benefits of PN in intestinal failure type I or II |
Gastric or Jejunal feeding is acceptable | Role of enteral glutamine, probiotics, omega-3 FAs, antioxidants |
Intravenous glutamine may be considered in patients with TPN | |
PEI should be monitored, especially in alcoholic, severe, and necrotizing pancreatitis |
- Citation: Lakananurak N, Gramlich L. Nutrition management in acute pancreatitis: Clinical practice consideration. World J Clin Cases 2020; 8(9): 1561-1573
- URL: https://www.wjgnet.com/2307-8960/full/v8/i9/1561.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v8.i9.1561