REVIEW: ENTERAL NUTRITION IN ACUTE PANCREATITIS

Binay Kumar Chaudhary and Wang Wei-Xing*

ABSTRACT

The incidence of acute pancreatitis has been increasing in the world every year. Despite improvement in proper care and modern equipped technology, interventions & imaging there is still significant morbidity and mortality of it. Acute pancreatitis is related with systemic and metabolic disorders due to release of hydrolytic enzymes, toxins and cytokines and may result in multiple organ failure. Damage to gut barrier in early phase of acute pancreatitis leads to systemic inflammatory response syndrome (SIRS), sepsis and infected pancreatic necrosis. So, it is important to keep motility of intestine. Enteral nutrition has found to be better results in stimulation of intestinal motility and preserve gut mucosal integrity by reducing bacterial overgrowth. During early phase of acute pancreatitis surgery is usually not done unless if there is any complication like necrosis and abscess so almost all of the cases are under supportive care. Thus, nutrition support becomes an important part in patients care. We are reviewing some impressive effects of enteral feeding nutrition in recent studies.

Keywords: Acute pancreatitis; nutrition; enteral; nasogastric feeding; pancreatitis.