Nutritional support in early phases of acute pancreatitis: fashionable trend and essential reality
The aim of review. To discuss basic methods of nutritional support in early phases of acute pancreatitis (AP). To show inconsistency of opinions on application of enteric feeding in early phases of AP.Key points. It was demonstrated, that from the pathogenic point of view total parenteral nutrition...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Gastro LLC
2013-07-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| Subjects: | |
| Online Access: | https://www.gastro-j.ru/jour/article/view/1199 |
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| Summary: | The aim of review. To discuss basic methods of nutritional support in early phases of acute pancreatitis (AP). To show inconsistency of opinions on application of enteric feeding in early phases of AP.Key points. It was demonstrated, that from the pathogenic point of view total parenteral nutrition is most justified in the phase of enzyme toxemia and intermediate phase of AP for 7 to 14 days and more in relation to the initial prognosis of disease severity. To establish a true role of early enteric feeding in AP treatment, it is necessary to continue monitoring of primary attacks, preventing its relapses, and to study effect of different types of enteric feeds on the level of APUD system hormones, that regulate pancreatic secretion.Conclusion. High efficacy of early enteric feeding at various surgical diseases has turned it into fashionable trend with doubtful and unproved efficacy at AP, at absence of the clear pathogenic arguments. Total parenteral nutrition after obligatory intestinal lavage of chyme by cooled saline solution to decrease enteric stimulation of pancreatic secretion in postprandial phase is justified today. |
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| ISSN: | 1382-4376 2658-6673 |