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Cited by 67Pancreatitis Pathology and TreatmentClinical Nutrition and GastroenterologyGallbladder and Bile Duct Disorders

Nutrition in acute pancreatitis: a critical review

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Lodewijkx, Piet J, Besselink, Marc G, Witteman, Ben J, Schepers, Nicolien J, Gooszen, Hein G, van Santvoort, Hjalmar C, Bakker, Olaf J, on behalf of the Dutch Pancreatitis·2016·Expert Review of Gastroenterology & Hepatology
DOI 10.1586/17474124.2016.1141048
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Abstract

Severe acute pancreatitis poses unique nutritional challenges. The optimal nutritional support in patients with severe acute pancreatitis has been a subject of debate for decades. This review provides a critical review of the available literature. According to current literature, enteral nutrition is superior to parenteral nutrition, although several limitations should be taken into account. The optimal route of enteral nutrition remains unclear, but normal or nasogastric tube feeding seems safe when tolerated. In patients with predicted severe acute pancreatitis an on-demand feeding strategy is advised and when patients do not tolerate an oral diet after 72 hours, enteral nutrition can be started. The use of supplements, both parenteral as enteral, are not recommended. Optimal nutritional support in severe cases often requires a tailor-made approach with day-to-day evaluation of its effectiveness.

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  • In a prospective Swedish cohort study of individuals with non-gallstone-related acute pancreatitis, there was no clear association between overall diet quality and risk of recurrent and progressive pancreatitis.

    “there was no clear association between overall diet quality”

    From ESPEN guideline on hospital nutrition (2021) · cites this paper as [204]

    The section on timing and type of oral nutrition (page unavailable) discusses diets used during treatment of acute pancreatitis, not overall diet quality as a predictor of later pancreatitis. Searches for a Swedish cohort, non-gallstone pancreatitis, and recurrent or progressive disease found no passage addressing the claimed association. (LLM, conf=0.76)

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  1. Peery AF, Dellon ES, Lund J, et al. Burden of gastrointestinal disease in the United States: 2012 update. Gastroenterology. 2012;143 (5):1179-1187. e1171-1173.
  2. Spanier B, Bruno MJ, Dijkgraaf MG. Incidence and mortality of acute and chronic pancreatitis in the Netherlands: a nationwide record- linked cohort study for the years 1995-2005. WJG. 2013;19 (20):3018-3026.
  3. Yadav D, Lowenfels AB. Trends in the epidemiology of the first attack of acute pancreatitis: a systematic review. Pancreas. 2006;33 (4):323-330.
  4. Van Santvoort HC, Bakker OJ, Bollen TL, et al. A conservative and minimally invasive approach to necrotizing pancreatitis improves outcome. Gastroenterology. 2011;141(4):1254-1263.
  5. Petrov MS, Shanbhag S, Chakraborty M, et al. Organ failure and infec- tion of pancreatic necrosis as determinants of mortality in patients with acute pancreatitis. Gastroenterology. 2010;139(3):813-820.
  6. McClave SA, Snider H, Owens N, et al. Clinical nutrition in pancrea- titis. Dig Dis Sci. 1997;42(10):2035-2044.
  7. Dickerson RN, Vehe KL, Mullen JL, et al. Resting energy expenditure in patients with pancreatitis. Crit Care Med. 1991;19(4):484-490.
  8. Abou-Assi S, O'Keefe SJ. Nutrition support during acute pancreati- tis. Nutrition. 2002;18(11-12):938-943.
  9. Abou-Assi S, O'Keefe SJ. Nutrition in acute pancreatitis. J Clin Gastroenterol. 2001;32(3):203-209.
  10. Zuo YY, Kang Y, Yin WH, et al. The association of mean glucose level and glucose variability with intensive care unit mortality in patients with severe acute pancreatitis. J Crit Care. 2012;27(2):146-152.
  11. Vujasinovic M, Tepes B, Makuc J, et al. Pancreatic exocrine insuffi- ciency, diabetes mellitus and serum nutritional markers after acute pancreatitis. WJG. 2014;20(48):18432-18438.
  12. Da Costa DW, Boerma D, Hc VS, et al. Staged multidisciplinary step- up management for necrotizing pancreatitis. Br J Surg. 2014;101(1): e65-79.
  13. Fallis LS. Results of conservative treatment of acute pancreatitis. Ann Surg. 1941;113(6):1070-1071.
  14. Giner M, Laviano A, Meguid MM, et al. In 1995 a correlation between malnutrition and poor outcome in critically ill patients still exists. Nutrition. 1996;12(1):23-29.
  15. O'Keefe SJ, Broderick T, Turner M, et al. Nutrition in the management of necrotizing pancreatitis. Clin Gastroenterol Hepatol. 2003;1(4):315-321. Key issues
  16. Vu MK, Van der Veek PP, Frolich M, et al. Does jejunal feeding activate exocrine pancreatic secretion? Eur J Clin Invest. 1999;29 (12):1053-1059.
  17. Meadows N. Monitoring and complications of parenteral nutrition. Nutrition. 1998;14(10):806-808.
  18. Ziegler TR. Parenteral nutrition in the critically ill patient. N Engl J Med. 2009;361(11):1088-1097.
  19. Wu LM, Sankaran SJ, Plank LD, et al. Meta-analysis of gut barrier dysfunction in patients with acute pancreatitis. Br J Surg. 2014;101 (13):1644-1656.
  20. Hermsen JL, Sano Y, Kudsk KA. Food fight! Parenteral nutrition, enteral stimulation and gut-derived mucosal immunity. Langenbeck's Arch Surgery/Deutsche Gesellschaft Fur Chirurgie. 2009;394(1):17-30.
  21. McClave SA, Ritchie CS. Artificial nutrition in pancreatic disease: what lessons have we learned from the literature? Clin Nutrition. 2000;19(1):1-6.
  22. Capurso G, Zerboni G, Signoretti M, et al. Role of the gut barrier in acute pancreatitis. J Clin Gastroenterol. 2012;46 Suppl:S46-51. doi:10.1097/MCG.0b013e3182652096. · DOI
  23. Fritz S, Hackert T, Hartwig W, et al. Bacterial translocation and infected pancreatic necrosis in acute necrotizing pancreatitis derives from small bowel rather than from colon. Am J Surg. 2010;200(1):111-117.
  24. Abou-Assi S, Craig K, O'Keefe SJ. Hypocaloric jejunal feeding is better than total parenteral nutrition in acute pancreatitis: results of a randomized comparative study. Am J Gastroenterol. 2002;97 (9):2255-2262.
  25. Casas M, Mora J, Fort E, et al. [Total enteral nutrition vs. total parenteral nutrition in patients with severe acute pancreatitis]. Revista espanola de enfermedades digestivas: organo oficial de la Sociedad Espanola de Patologia Digestiva. 2007;99(5):264-269.
  26. Gupta R, Patel K, Calder PC, et al. A randomised clinical trial to assess the effect of total enteral and total parenteral nutritional support on metabolic, inflammatory and oxidative markers in patients with predicted severe acute pancreatitis (APACHE II > or =6). Pancreatology. 2003;3(5):406-413.
  27. Kalfarentzos F, Kehagias J, Mead N, et al. Enteral nutrition is super- ior to parenteral nutrition in severe acute pancreatitis: results of a randomized prospective trial. Br J Surg. 1997;84(12):1665-1669.
  28. Louie BE, Noseworthy T, Hailey D, et al. 2004 MacLean-Mueller prize enteral or parenteral nutrition for severe pancreatitis: a randomized controlled trial and health technology assessment. Can J Surg. 2005;48(4):298-306.
  29. McClave SA, Greene LM, Snider HL, et al. Comparison of the safety of early enteral vs parenteral nutrition in mild acute pancreatitis. JPEN J Parenter Enteral Nutr. 1997;21(1):14-20.
  30. Olah A, Pardavi G, Belagyi T, et al. Early nasojejunal feeding in acute pancreatitis is associated with a lower complication rate. Nutrition. 2002;18(3):259-262.
  31. Petrov MS, Kukosh MV, Emelyanov NV. A randomized controlled trial of enteral versus parenteral feeding in patients with predicted severe acute pancreatitis shows a significant reduction in mortality and in infected pancreatic complications with total enteral nutri- tion. Dig Surg. 2006;23(5-6):336-344. discussion 344-335 • The first randomized controlled trial finding a significant dif- ference in mortality giving enteral vs parenteral nutrition in patients with predicted severe acute pancreatitis.
  32. Wu XM, Ji KQ, Wang HY, et al. Total enteral nutrition in prevention of pancreatic necrotic infection in severe acute pancreatitis. Pancreas. 2010;39(2):248-251.
  33. Doley RP, Yadav TD, Wig JD, et al. Enteral nutrition in severe acute pancreatitis. Jop. 2009;10(2):157-162.
  34. Windsor AC, Kanwar S, Li AG, et al. Compared with parenteral nutrition, enteral feeding attenuates the acute phase response and improves disease severity in acute pancreatitis. Gut. 1998;42 (3):431-435.
  35. Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996;17(1):1-12.
  36. Yi F, Ge L, Zhao J, et al. Meta-analysis: total parenteral nutrition versus total enteral nutrition in predicted severe acute pancreatitis. Intern Medicine. 2012;51(6):523-530.
  37. Petrov MS, Van Santvoort HC, Besselink MG, et al. Enteral nutrition and the risk of mortality and infectious complications in patients with severe acute pancreatitis: a meta-analysis of randomized trials. Arch Surg. 2008;143(11):1111-1117.
  38. Working Group IAPAPAAPG. IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology. 2013;13 (4 Suppl 2):e1-15. doi:10.1016/j.pan.2013.07.063. · DOI
  39. Mirtallo JM, Forbes A, McClave SA, et al. International consensus guidelines for nutrition therapy in pancreatitis. JPEN J Parenter Enteral Nutr. 2012;36(3):284-291.
  40. Meier R, Ockenga J, Pertkiewicz M, et al. ESPEN guidelines on enteral nutrition: pancreas. Clin Nutrition. 2006;25(2):275-284.
  41. Mounzer R, Langmead CJ, Wu BU, et al. Comparison of existing clinical scoring systems to predict persistent organ failure in patients with acute pancreatitis. Gastroenterology. 2012;142 (7):1476-1482. quiz e1415-1476
  42. Besselink MG, Van Santvoort HC, Boermeester MA, et al. Timing and impact of infections in acute pancreatitis. Br J Surg. 2009;96(3):267-273.
  43. Pleva M, Mirtallo JM, Steinberg SM. Hyperglycemic events in non- intensive care unit patients receiving parenteral nutrition. Nutrition Clin Practice. 2009;24(5):626-634.
  44. Pancorbo-Hidalgo PL, Garcia-Fernandez FP, Ramirez-Perez C. Complications associated with enteral nutrition by nasogastric tube in an internal medicine unit. J Clin Nurs. 2001;10(4):482-490.
  45. Pasquel FJ, Spiegelman R, McCauley M, et al. Hyperglycemia during total parenteral nutrition: an important marker of poor outcome and mortality in hospitalized patients. Diabetes Care. 2010;33 (4):739-741.
  46. Lin LY, Lin HC, Lee PC, et al. Hyperglycemia correlates with out- comes in patients receiving total parenteral nutrition. Am J Med Sci. 2007;333(5):261-265.
  47. Umpierrez GE, Hellman R, Korytkowski MT, et al. Management of hyperglycemia in hospitalized patients in non-critical care setting: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2012;97(1):16-38.
  48. Gosmanov AR, Umpierrez GE. Management of hyperglycemia dur- ing enteral and parenteral nutrition therapy. Curr Diab Rep. 2013;13(1):155-162.
  49. Arabi YM, Aldawood AS, Haddad SH, et al. Permissive underfeeding or standard enteral feeding in critically Ill adults. N Engl J Med. 2015;372(25):2398-2408.
  50. Bost RB, Tjan DH, Van Zanten AR. Timing of (supplemental) par- enteral nutrition in critically Ill patients: a systematic review. Ann Intensive Care. 2014;4:31.
  51. O'Keefe SJ. Physiological response of the human pancreas to ent- eral and parenteral feeding. Curr Opin Clin Nutr Metab Care. 2006;9 (5):622-628.
  52. O'Keefe SJ, Lee RB, Li J, et al. Trypsin and splanchnic protein turn- over during feeding and fasting in human subjects. Am J Physiol Gastrointest Liver Physiol. 2006;290(2):G213-221.
  53. Kaushik N, Pietraszewski M, Holst JJ, et al. Enteral feeding without pancreatic stimulation. Pancreas. 2005;31(4):353-359.
  54. Eatock FC, Chong P, Menezes N, et al. A randomized study of early nasogastric versus nasojejunal feeding in severe acute pancreatitis. Am J Gastroenterol. 2005;100(2):432-439.
  55. Kumar A, Singh N, Prakash S, et al. Early enteral nutrition in severe acute pancreatitis: a prospective randomized controlled trial com- paring nasojejunal and nasogastric routes. J Clin Gastroenterol. 2006;40(5):431-434.
  56. Nally DM, Kelly EG, Clarke M, et al. Nasogastric nutrition is effica- cious in severe acute pancreatitis: a systematic review and meta- analysis. Br J Nutr. 2014;112(11):1769-1778.
  57. Petrov MS, Correia MI, Windsor JA. Nasogastric tube feeding in predicted severe acute pancreatitis. A systematic review of the literature to determine safety and tolerance. JOP. 2008;9 (4):440-448.
  58. Chang YS, Fu HQ, Xiao YM, et al. Nasogastric or nasojejunal feeding in predicted severe acute pancreatitis: a meta-analysis. Crit Care. 2013;17(3):R118. • A overview of all randomized controlled trials with recommen- dations concerning nasogastric vs nasjojejunal tube feeding in patients with acute pancreatitis.
  59. Gerritsen A, Besselink MG, Cieslak KP, et al. Efficacy and complica- tions of nasojejunal, jejunostomy and parenteral feeding after pancreaticoduodenectomy. J Gastrointestinal Surgery. 2012;16 (6):1144-1151.
  60. Piciucchi M, Merola E, Marignani M, et al. Nasogastric or nasoin- testinal feeding in severe acute pancreatitis. WJG. 2010;16 (29):3692-3696.
  61. Alhazzani W, Almasoud A, Jaeschke R, et al. Small bowel feeding and risk of pneumonia in adult critically Ill patients: a systematic review and meta-analysis of randomized trials. Crit Care. 2013;17(4):R127.
  62. Marik PE, Zaloga GP. Gastric versus post-pyloric feeding: a systema- tic review. Crit Care. 2003;7(3):R46-51.
  63. Ho KM, Dobb GJ, Webb SA. A comparison of early gastric and post- pyloric feeding in critically ill patients: a meta-analysis. Intensive Care Med. 2006;32(5):639-649.
  64. Gerritsen A, De Rooij T, van der Poel MJ, et al. Endoscopic versus bedside electromagnetic-guided placement of nasoenteral feeding tubes in surgical patients. Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract. 2014;18(9):1664-1672.
  65. Boyer N, McCarthy MS, Mount CA. Analysis of an electromagnetic tube placement device versus a self-advancing nasal jejunal device for postpyloric feeding tube placement. J Hosp Med. 2014;9(1):23-28.
  66. Wang X, Zhang L, Wu C, et al. The application of electromagneti- cally guided post-pyloric feeding tube placement in critically ill patients. J Invest Surg. 2014;27(1):21-26.
  67. Gerritsen A, van der Poel MJ, De Rooij T, et al. Systematic review on bedside electromagnetic-guided, endoscopic, and fluoroscopic pla- cement of nasoenteral feeding tubes. Gastrointest Endosc. 2015;81 (4):836-847.
  68. Levy P, Heresbach D, Pariente EA, et al. Frequency and risk factors of recurrent pain during refeeding in patients with acute pancrea- titis: a multivariate multicentre prospective study of 116 patients. Gut. 1997;40(2):262-266.
  69. Pandey SK, Ahuja V, Joshi YK, et al. A randomized trial of oral refeeding compared with jejunal tube refeeding in acute pancrea- titis. Indian J Gastroenterology. 2004;23(2):53-55.
  70. Petrov MS, Van Santvoort HC, Besselink MG, et al. Oral refeeding after onset of acute pancreatitis: a review of literature. Am J Gastroenterol. 2007;102(9):2079-2084. quiz 2085
  71. Teich N, Aghdassi A, Fischer J, et al. Optimal timing of oral refeed- ing in mild acute pancreatitis: results of an open randomized multicenter trial. Pancreas. 2010;39(7):1088-1092.
  72. Petrov MS, McIlroy K, Grayson L, et al. Early nasogastric tube feeding versus nil per os in mild to moderate acute pancreatitis: a randomized controlled trial. Clin Nutrition. 2013;32(5):697-703.
  73. Sathiaraj E, Murthy S, Mansard MJ, et al. Clinical trial: oral feeding with a soft diet compared with clear liquid diet as initial meal in mild acute pancreatitis. Aliment Pharmacol Ther. 2008;28(6):777-781.
  74. Rajkumar N, Karthikeyan VS, Ali SM, et al. Clear liquid diet vs soft diet as the initial meal in patients with mild acute pancreatitis: a randomized interventional trial. Nutrition Clin Practice. 2013;28 (3):365-370.
  75. Moraes JM, Felga GE, Chebli LA, et al. A full solid diet as the initial meal in mild acute pancreatitis is safe and result in a shorter length of hospitalization: results from a prospective, randomized, con- trolled, double-blind clinical trial. J Clin Gastroenterol. 2010;44 (7):517-522.
  76. Jacobson BC, Vander Vliet MB, Hughes MD, et al. A prospective, randomized trial of clear liquids versus low-fat solid diet as the initial meal in mild acute pancreatitis. Clin Gastroenterol Hepatol. 2007;5(8):946-951. quiz 886
  77. Meng WB, Li X, Li YM, et al. Three initial diets for management of mild acute pancreatitis: a meta-analysis. WJG. 2011;17(37):4235-4241.
  78. Larino-Noia J, Lindkvist B, Iglesias-Garcia J, et al. Early and/or immediately full caloric diet versus standard refeeding in mild acute pancreatitis: a randomized open-label trial. Pancreatology. 2014;14(3):167-173.
  79. Li J, Xue GJ, Liu YL, et al. Early oral refeeding wisdom in patients with mild acute pancreatitis. Pancreas. 2013;42(1):88-91.
  80. Zhao XL, Zhu SF, Xue GJ, et al. Early oral refeeding based on hunger in moderate and severe acute pancreatitis: a prospective controlled, randomized clinical trial. Nutrition. 2015;31(1):171-175.
  81. McClave SA, Heyland DK. The physiologic response and associated clinical benefits from provision of early enteral nutrition. Nutrition Clin Practice. 2009;24(3):305-315.
  82. Lehocky P, Sarr MG. Early enteral feeding in severe acute pancrea- titis: can it prevent secondary pancreatic (super) infection? Dig Surg. 2000;17(6):571-577.
  83. Wereszczynska-Siemiatkowska U, Swidnicka-Siergiejko A, Siemiatkowski A, et al. Early enteral nutrition is superior to delayed enteral nutrition for the prevention of infected necrosis and mor- tality in acute pancreatitis. Pancreas. 2013;42(4):640-646.
  84. Petrov MS, Pylypchuk RD, Uchugina AF. A systematic review on the timing of artificial nutrition in acute pancreatitis. Br J Nutr. 2009;101(6):787-793.
  85. Li JY, Yu T, Chen GC, et al. Enteral nutrition within 48 hours of admission improves clinical outcomes of acute pancreatitis by redu- cing complications: a meta-analysis. Plos One. 2013;8(6):e64926.
  86. Wu XM, Liao YW, Wang HY, et al. When to initialize enteral nutrition in patients with severe acute pancreatitis? A retrospective review in a single institution experience (2003-2013). Pancreas. 2015;44 (3):507-511.
  87. Bakker OJ, Van Brunschot S, Farre A, et al. Timing of enteral nutri- tion in acute pancreatitis: meta-analysis of individuals using a single-arm of randomised trials. Pancreatology. 2014;14(5):340-346.
  88. Bakker OJ, Van Brunschot S, Van Santvoort HC, et al. Early versus on-demand nasoenteric tube feeding in acute pancreatitis. N Engl J Med. 2014;371(21):1983-1993.
  89. Padilla GV, Grant M, Wong H, et al. Subjective distresses of naso- gastric tube feeding. JPEN J Parenter Enteral Nutr. 1979;3(2):53-57.
  90. Prabhakaran S, Doraiswamy VA, Nagaraja V, et al. Nasoenteric tube complications. Scandinavian Journal of Surgery: SJS: Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society. 2012;101(3):147-155.

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Authors
Lodewijkx, P. J., Besselink, M. G., Witteman, B. J., Schepers, N. J., Gooszen, H. G., van Santvoort, H. C., Bakker, O. J., & Pancreatitis, O. B. O. T. D.
Affiliations
  • Jeroen Bosch Ziekenhuis (NL)
  • Amsterdam UMC Location University of Amsterdam (NL)
  • Ziekenhuis Gelderse Vallei (NL)
  • Erasmus MC (NL)
  • Radboud University Medical Center (NL)
  • University Medical Center Utrecht (NL)
Corresponding author
Bakker, Olaf J
ORCID
Venue
Expert Review of Gastroenterology & Hepatology
Publisher
Informa UK Limited
Published
2016-03-15
Volume
10
Issue
5
Pages
571-580
ISSN
  • 1747-4124 (ISSN-L)
  • 1747-4132
DOI
10.1586/17474124.2016.1141048
OpenAlex
W2280048001
Cited by
67
References
9
Citations by year
2026: 1 · 2025: 5 · 2024: 9 · 2023: 5 · 2022: 9 · 2021: 9 · 2020: 10 · 2019: 9 · 2018: 3 · 2017: 6 · 2016: 1
FWCI
1.26
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • Expert Review of Gastroenterology & Hepatology (publishedVersion)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
  • Pure Amsterdam UMC (acceptedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
  • Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
  • Utrecht University Repository (Utrecht University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Pancreatitis Pathology and Treatment
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Gallbladder and Bile Duct Disorders
Keywords
severe acute pancreatitis, nutritional support, enteral nutrition, parenteral nutrition, nasogastric tube feeding, demand feeding, dietary supplements
MeSH terms
Acute Disease, Animals, Enteral Nutrition, Humans, Nutritional Status, Pancreatitis, Parenteral Nutrition, Severity of Illness Index, Chi-Square Distribution, Treatment Outcome, Dietary Supplements

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