Acute pancreatitis

1
Acute pancreatitis

• Need for nutritional support
• Increased metabolic demands
• Inability to eat
• Pre existing malnutrition

2
Nutritional support in acute pancreatitis

• Critique of studies
• Retrospective studies
• Hetrogenous groups
• Small numbers

3
Acute Pancreatitis

• Which patients need nutritional support ?

4
Parenteral nutrition in acute pancreatitis

• What is the ideal solution ?

5
Parenteral nutrition in acute pancreatitis

• Do intravenous fat emulsions cause pancreatitis ?
  
• Are intravenous fat emulsions safe for patients
  with acute pancreatitis?

6
Parenteral nutrition in acute pancreatitis

• Problems
• Higher incidence of catheter sepsis
• Expensive
• Gut atrophy

7
Effect of enteral feeding onpancreatic secretions

• Intragastric or intrajejunal ?

8
Enteral nutrition in acute pancreatitis
Role of special diets ?

9
Acute Pancreatitis

• Role of immunonutrition ?

10
Acute PancreatitisParenteral vs Enteral
nutrition

• Nutr Hosp 1996
• JPEN 1997
• Br J Surg 1997
• Gut 1998

11
Is routine use of nutrition beneficial in terms
of clinical outcome?