Open AccessEndoscopist’s approach to nutrition in the patient with pancreatitis
Author(s) -
Shahzad Iqbal,
Jay P. Babich,
James H. Grendell,
David Friedel
Publication year - 2012
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v4.i12.526
Subject(s) - medicine , parenteral nutrition , jejunostomy , enteral administration , acute pancreatitis , gastrostomy , feeding tube , pancreatitis , intensive care medicine , surgery , general surgery
Nutritional therapy has an important role in the management of patient with severe acute pancreatitis. This article reviews the endoscopist's approach to manage nutrition in such cases. Enteral feeding has been clearly validated as the preferred route of feeding, and should be started early on admission. Parenteral nutrition should be reserved for patients with contraindications to enteral feeding such as small bowel obstruction. Moreover, nasogastric feeding is safe and as effective as nasojejunal feeding. If a prolonged course of enteral feeding (> 30 d) is required, endoscopic placement of feeding gastrostomy or jejunostomy tubes should be considered.