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Keywords Enteral nutrition for acute pa...

Enteral nutrition for acute pancreatitis

https://read.qxmd.com/read/38468990/navigating-nutritional-strategies-a-comprehensive-review-of-early-and-delayed-enteral-feeding-in-acute-pancreatitis
#1
REVIEW
Suprit Malali, Shilpa A Gaidhane, Sourya Acharya, Harshitha Reddy, Nikhil Pantbalekundri
This review critically examines enteral feeding strategies in managing acute pancreatitis, focusing on the contrasting early and delayed initiation approaches. Acute pancreatitis, marked by pancreatic inflammation, poses complex challenges, and nutritional interventions are pivotal in patient outcomes. Early enteral feeding, initiated within 24-48 hours, is associated with positive outcomes such as shortened hospital stays and reduced complications. However, controversies persist, with studies questioning its universal benefits...
February 2024: Curēus
https://read.qxmd.com/read/38415812/early-enteral-nutrition-support-for-patients-with-acute-pancreatitis-in-the-inpatient-setting-a-best-practice-implementation-project
#2
JOURNAL ARTICLE
Jieying Xie, Yuhan Cai, Huiying Xu, Yang Peng, Alexa McArthur
INTRODUCTION: Acute pancreatitis is a major disease that endangers the health and lives of people. Historically, clinical therapy has recommended that patients with acute pancreatitis remain nil by mouth. As one of the therapies recommended in recent guidelines, early enteral nutrition support reduces the incidence of infectious complications and reduces the risk of severe conditions. However, early enteral nutrition support has not been optimally implemented within clinical practice for acute pancreatitis inpatients...
February 29, 2024: JBI evidence implementation
https://read.qxmd.com/read/38398290/recent-treatment-strategies-for-acute-pancreatitis
#3
REVIEW
Yongcook Song, Sang-Hoon Lee
Acute pancreatitis (AP) is a leading gastrointestinal disease that causes hospitalization. Initial management in the first 72 h after the diagnosis of AP is pivotal, which can influence the clinical outcomes of the disease. Initial management, including assessment of disease severity, fluid resuscitation, pain control, nutritional support, antibiotic use, and endoscopic retrograde cholangiopancreatography (ERCP) in gallstone pancreatitis, plays a fundamental role in AP treatment. Recent updates for fluid resuscitation, including treatment goals, the type, rate, volume, and duration, have triggered a paradigm shift from aggressive hydration with normal saline to goal-directed and non-aggressive hydration with lactated Ringer's solution...
February 8, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38285193/-management-of-acute-pancreatitis-in-the-emergency-department-and-the-intensive-care-unit
#4
JOURNAL ARTICLE
Armin Finkenstedt, Michael Joannidis
Acute pancreatitis is a gastrointestinal emergency where diagnosis is based on typical symptoms, increased serum lipase concentration, and abdominal imaging. Local complications and organ failure in severe acute pancreatitis regularly necessitate treatment in the intensive care unit and are associated with increased mortality rates. Only optimal interdisciplinary treatment can improve the prognosis of patients with severe acute pancreatitis. This article gives guidance on the initial diagnostic and etiological examinations as well as on the evaluation of organ failure and the severity assessment according to common classification systems...
March 2024: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://read.qxmd.com/read/38243059/kitchen-based-diet-versus-commercial-polymeric-formulation-in-acute-pancreatitis-a-pilot-randomized-comparative-study
#5
JOURNAL ARTICLE
Indu Grover, Deepak Gunjan, Namrata Singh, Srikanth Gopi, Hem Chandra Sati, Vikas Sachdev, Anoop Saraya
INTRODUCTION: Nutrition plays an important role in management of acute pancreatitis (AP) and decreases its severity and infectious complications. Various formulations of enteral nutrition (EN) are available and are costly. For developing countries, cost and availability is a major issue and kitchen-based diet should be explored in patients with AP. AIM: Comparison of kitchen-based diet with a commercially available polymeric formulation in terms of various outcomes in patients with AP within 14 days after the onset of pain...
January 20, 2024: European Journal of Clinical Nutrition
https://read.qxmd.com/read/38115294/effectiveness-and-safety-of-probiotics-on-patients-with-severe-acute-pancreatitis-a-systematic-review-and-meta-analysis
#6
JOURNAL ARTICLE
Zhiling Gao, Shuomiao Yin, Kui Jin, Weiqun Nie, Longmei Wang, Ling Cheng
BACKGROUND: This meta-analysis aimed to assess the efficacy and safety of probiotics in conjunction with early enteral nutrition for the treatment of severe acute pancreatitis (SAP). This study focused on multiple clinical endpoints, including mortality rate, risk of organ failure, and duration of hospital stay. METHODS: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The study adhered to the Patient, Intervention, Comparison, Outcome framework and utilized randomized controlled trials to examine the impact of probiotics on patients with SAP...
December 15, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/38073153/nutrition-support-in-the-pediatric-total-pancreatectomy-with-islet-autotransplantation-recipient
#7
REVIEW
Elissa M Downs, Amanda Brun, Melena D Bellin
For children with diminished quality of life and chronic pain caused by acute recurrent or chronic pancreatitis who are undergoing total pancreatectomy with islet autotransplantation, postoperative nutrition support has several unique characteristics. Surgical complications may lead to delays in nutrition support initiation or require modifications to the regimen. Early postoperative dysmotility requires the use of temporary enteral nutrition until this improves. The resultant complete exocrine pancreatic insufficiency necessitates lifelong pancreatic enzyme replacement therapy and fat-soluble vitamin supplementation...
December 10, 2023: Nutrition in Clinical Practice
https://read.qxmd.com/read/38012699/early-short-term-abdominal-paracentesis-drainage-in-moderately-severe-and-severe-acute-pancreatitis-with-pelvic-ascites
#8
JOURNAL ARTICLE
Jie Huang, Lei Li, Ying Chen, Enqiang Mao, Hongping Qu
BACKGROUND: We sought to evaluate the effect of early short-term abdominal paracentesis drainage (APD) in moderately severe and severe acute pancreatitis (MSAP/SAP) with pelvic ascites. METHODS: A total of 135 MSAP/SAP patients with early pelvic ascites were divided into the Short-term APD group (57 patients) and the Non-APD group (78 patients). The effects, complications, and prognosis of short-term APD patients were evaluated. RESULTS: The baseline characteristics in the two groups were similar...
November 27, 2023: BMC Surgery
https://read.qxmd.com/read/37909942/necrotizing-gastritis-as-a-rare-complication-in-a-pediatric-patient-with-acute-lymphoid-leukemia
#9
JOURNAL ARTICLE
Carolina Rivero Bustos, Carlos Augusto Cuadros, Kelly Paz Amado, Alexandra Perez Sotelo, Edwin Abraham Medina, Irina Suley Tirado Perez
UNLABELLED: Necrotizing gastritis is an infrequent entity with unknown prevalence, the diagnosis is often incidental during exploratory laparotomy or autopsies of patients with acute abdomen. OBJECTIVE: To present a clinical case of necrotizing gastritis, a rare entity that should be taken into account in the context of immunocompromised patients with associated risk factors. CLINICAL CASE: 7-year-old male schoolboy diagnosed with T-precursor acute lymphoid leukemia, finishing induction chemotherapy cycle with PETHEMA 2013 protocol...
June 2023: Andes pediatrica: revista Chilena de pediatría
https://read.qxmd.com/read/37890845/nasogastric-versus-nasojejunal-tube-feeding-for-severe-acute-pancreatitis-a-systematic-review-of-randomized-controlled-trials
#10
JOURNAL ARTICLE
Andrea Carlin-Ronquillo, Harold Benites-Goñi, Carlos Diaz-Arocutipa, Paulo Alosilla Sandoval, Alejandro Piscoya-Rivera, Lesly Calixto, Adrian V Hernández
Early enteral nutrition through a feeding tube is essential for the management of severe acute pancreatitis (SAP). Nasojejunal tube nutrition has been preferred on the assumption that it provided pancreatic rest in comparison to the nasogastric tube. However, nasojejunal tube placement is complex, may delay feeding initiation and can increase hospital costs. Our aim was to compare the efficacy and safety of enteral feeding with a nasogastric tube versus nasojejunal tube in patients with SAP. We searched four databases (PubMed, Web of Science, Scopus, and Embase) until December 1, 2022...
2023: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
https://read.qxmd.com/read/37882630/the-open-abdomen-in-trauma-acute-care-and-vascular-and-endovascular-surgery-comprehensive-expert-narrative-review
#11
REVIEW
Derek J Roberts, Ari Leppäniemi, Matti Tolonen, Panu Mentula, Martin Björck, Andrew W Kirkpatrick, Michael Sugrue, Bruno M Pereira, Ulf Petersson, Federico Coccolini, Rifat Latifi
BACKGROUND: The open abdomen is an innovation that greatly improved surgical understanding of damage control, temporary abdominal closure, staged abdominal reconstruction, viscera and enteric fistula care, and abdominal wall reconstruction. This article provides an evidence-informed, expert, comprehensive narrative review of the open abdomen in trauma, acute care, and vascular and endovascular surgery. METHODS: A group of 12 international trauma, acute care, and vascular and endovascular surgery experts were invited to review current literature and important concepts surrounding the open abdomen...
September 5, 2023: BJS Open
https://read.qxmd.com/read/37876270/electromagnetically-navigated-tube-placement-device-for-bedside-placement-of-small-bowel-feeding-tube-on-patients-with-acute-severe-pancreatitis-comparative-study
#12
JOURNAL ARTICLE
Guoliang Tan, Yongming Chen, Yanping Lin
BACKGROUND: A developing approach for the bedside installation of feeding tubes is the Electromagnetic Navigation-assisted Tube Placement Device (ENTPD). The ENTPD monitors the tip position of feeding tubes when they are inserted into the digestive tract. It aids in the avoidance of airway misalignment and allows placing into the small bowel. Several recent exploratory studies have shown that ENTPD for nasojejunal feeding tube installation can improve success rates, lower costs, and allow for a more rapid beginning of enteral nutrition...
October 6, 2023: Current medical imaging
https://read.qxmd.com/read/37856815/analysis-of-factors-influencing-the-duration-of-early-enteral-nutrition-support-in-patients-diagnosed-with-acute-pancreatitis
#13
JOURNAL ARTICLE
Haiyan Pan, Huiping Yuan, Hongbo Bao, Hanfeng Lu, Jie Yang, Peipei Li, Qiancheng Xu, Bingfeng Qin
OBJECTIVE: This study aimed to assess the current status of early enteral nutrition (EN) support among patients diagnosed with acute pancreatitis (AP) and analyze the factors influencing its duration. The findings aimed to provide guidance for the development of tailored EN support protocols for pancreatitis patients. METHODS: A convenience sampling method was employed, and 51 patients diagnosed with acute pancreatitis (AP) were enrolled from the Gastroenterology Department of Zhoushan Hospital between May 2020 and June 2021...
October 20, 2023: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/37843344/comparison-between-oral-and-enteral-tube-refeeding-in-hyperlipidemic-acute-pancreatitis
#14
JOURNAL ARTICLE
E-X Chen, J-H Tong, G Che, Z-F She, X Cao
OBJECTIVE: Hyperlipidemic acute pancreatitis (HLAP) remains one of the major digestive emergencies with increasing health risks. Oral refeeding tolerant (ORT) and enteral tube feeding tolerant (ETFT) are commonly used for nutritional management in HLAP. However, the differences between ORT and ETFT are yet to be characterized. PATIENTS AND METHODS: This study included consecutive patients admitted to the Ordos Central Hospital between January 2019 and April 2023, with predefined inclusion criteria...
October 2023: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/37818490/enteral-nutrition-versus-parenteral-nutrition-on-outcomes-in-acute-pancreatitis-insights-from-the-nationwide-inpatient-sample
#15
JOURNAL ARTICLE
Fidelis Uwumiro, Oluwatobi A Olaomi, Opeyemi Tobalesi, Victory Okpujie, Olawale Abesin, Enomen Ekata, Pascal Ezerioha, Uwakmfonabasi A Umoudoh, Zainab Olapade, Evaristus Asobara
INTRODUCTION: Despite considerable research on the comparison of enteral and parenteral nutrition in patients with acute pancreatitis, there is an ongoing debate about the optimal timing of nutrition initiation, invasiveness of interventions, impact on outcomes, and patient tolerance. Given the gap that still exists in the literature, we investigated the relationship between the mode of nutrition and critical outcomes such as mortality rates, inpatient complications, length of hospitalization, and discharge disposition, using comprehensive national-level data...
September 2023: Curēus
https://read.qxmd.com/read/37737818/aga-clinical-practice-update-on-the-epidemiology-evaluation-and-management-of-exocrine-pancreatic-insufficiency-expert-review
#16
David C Whitcomb, Anna M Buchner, Chris E Forsmark
DESCRIPTION: Exocrine pancreatic insufficiency (EPI) is a disorder caused by the failure of the pancreas to deliver a minimum/threshold level of specific pancreatic digestive enzymes to the intestine, leading to the maldigestion of nutrients and macronutrients, resulting in their variable deficiencies. EPI is frequently underdiagnosed and, as a result, patients are often not treated appropriately. There is an urgent need to increase awareness of and treatment for this condition. The aim of this American Gastroenterological Association (AGA) Clinical Practice Update Expert Review was to provide Best Practice Advice on the epidemiology, evaluation, and management of EPI...
September 20, 2023: Gastroenterology
https://read.qxmd.com/read/37722072/contemporary-management-of-acute-pancreatitis-what-you-need-to-know
#17
JOURNAL ARTICLE
Rachael Palumbo, Kevin M Schuster
Acute pancreatitis and management of its complications is a common consult for the acute care surgeon. With the ongoing development of both operative and endoscopic treatment modalities, management recommendations continue to evolve. We describe the current diagnostic and treatment guidelines for acute pancreatitis through the lens of acute care surgery. Topics, including optimal nutrition, timing of cholecystectomy in gallstone pancreatitis, and the management of peripancreatic fluid collections, are discussed...
January 1, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37597234/-clinical-practice-guideline-for-the-management-of-acute-pancreatitis-in-the-social-security-of-peru-essalud
#18
JOURNAL ARTICLE
Edson Guzmán-Calderón, Wilen Horacio Suárez-Ale, Leslie Chávez-Rimache, Luygy Zavaleta-Jara, Miguel José Díaz-Gonzales, Wilmer Gustavo Quiroga-Purizaca, Marco Terán-Choquehuanca, Víctor Moisés Lizarzaburu-Rodríguez, Sandra Graciela Vargas-Márquez, Héctor Juarez-Granda, Víctor Rodrigo Contreras-Quincho, Fernando Rómulo Revoredo-Rego, Oscar Miguel Merino-Chávez, Fredy Guillermo Coayla-Castillo, Víctor Velásquez-Rimachi, Sergio Goicochea-Lugo, Jonathan Mejía-Santiváñez, Álvaro Taype-Rondan, Stefany Salvador-Salvador, Vladimir Ernesto Santos-Sánchez
This article summarizes the clinical practice guideline (CPG) for the management of acute pancreatitis in the Social Security of Peru (EsSalud), to provide evidence-based clinical recommendations for the management of acute pancreatitis in EsSalud. A guideline development group (GEG) was formed that included medical specialists and methodologists. The GEG formulated 7 clinical questions to be answered by this CPG. Systematic searches of systematic reviews and -when considered relevant- primary studies were carried out in PubMed during 2022...
2023: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
https://read.qxmd.com/read/37594373/acute-pancreatitis-in-children-risk-factors-management-and-outcomes
#19
REVIEW
Megha S Mehta
PURPOSE OF REVIEW: Pediatric acute pancreatitis is an infrequent but potentially serious condition in children. Most have mild cases with spontaneous resolution, but up to one-third of patients can have moderate or severe disease or progress to recurrent or chronic pancreatitis. RECENT FINDINGS: Significant advances have been made in the field of pediatric pancreatology with a recognition that pediatric acute pancreatitis can vary significantly from adult disease with different risk factors and outcomes...
October 1, 2023: Current Opinion in Pediatrics
https://read.qxmd.com/read/37530777/-enteral-nutrition-in-the-treatment-of-acute-pancreatitis
#20
JOURNAL ARTICLE
A V Fedorov, V N Ektov
The review presents literature data on enteral nutrition in the treatment of acute pancreatitis. The authors provide pathophysiological substantiations of the need for nutritional support in patients with various forms of acute pancreatitis and basic principles of enteral nutrition in this disease. The results of numerous studies evaluating the outcomes of enteral nutrition are presented. These data indicate advisability of early enteral nutrition in acute pancreatitis because this approach reduces systemic inflammatory response, risk of bacterial translocation and purulent-septic complications, improves treatment outcomes...
2023: Khirurgiia
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