Abstract
Acute pancreatitis can present as a mild or a severe life-threatening disease. The critically ill patients should be admitted to an intensive care unit. utritional support.
It is an integral part of the treatment. In mild acute pancreatitis it is not always necessary to use special types of nutrition.
P intake is possible in most cases, however, acute pancreatitis can lead to systemic inflammatory response or multiorgan failure and thus patients are not eat. The metabolism and proteolysis are high.
The aim of nutritional support is to cover the energy requirements of the organism, to sustain intestinal integrity and to accelerate recovery of patients. In the last years, the opinion on nutritional strategy has changed due to new data from clinical trials.
Enteral nutrition is now superior to parenteral nutrition, polymeric formulas via nasogastric tube have the same effectivity as semielemental formulas via nasojejunal tube. Howerver, many questions remain unanswered, e.g. the role of nutrition supplements (glutamine, omega 3 fatty acids) or probiotics.
These supplements are being discussed again.