JOURNAL ARTICLE
REVIEW

Nutritional support in acute and chronic pancreatitis

John P Grant
Surgical Clinics of North America 2011, 91 (4): 805-20, viii
21787969
Nutritional support can have a significant beneficial impact on the course of moderate to severe acute pancreatitis. Enteral nutrition is preferred, with emphasis on establishment of jejunal access; however, parenteral nutrition can also be of value if intestinal failure is present. Early initiation of nutritional support is critical, with benefits decreasing rapidly if begun after 48 hours from admission. Severe malnutrition in chronic pancreatitis can be avoided or treated with dietary modifications or enteral nutrition.

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