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Gastric Feeding and “Gut Rousing” in Acute Pancreatitis
Author(s) -
Petrov Maxim S.
Publication year - 2014
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0884533614528986
Subject(s) - medicine , acute pancreatitis , parenteral nutrition , pancreatitis , intensive care medicine , enteral administration , gastroenterology , feeding tube , gastrointestinal function , pancreas , disease , surgery
The “pancreatic rest” concept is entrenched in the management of acute pancreatitis. As a result, “nonstimulatory” feeding has been widely advocated in patients with this disease, being parenteral nutrition 2–3 decades ago and jejunal tube feeding in the past decade. However, accumulating clinical evidence from the fields of acute pancreatitis and critical care medicine suggests that gastric feeding is as safe and effective as jejunal feeding in most patients. This has paved the way for a new conceptual framework called “gut rousing.” Acute pancreatitis management now requires consideration of gut function. Enteral nutrition is a gut‐directed therapy, and avoiding stimulation of the pancreas in patients with acute pancreatitis need not overshadow the main goal of maintaining or restoring gut function.