TY - JOUR
T1 - ESPEN practical guideline on clinical nutrition in acute and chronic pancreatitis
AU - Arvanitakis, Marianna
AU - Ockenga, Johann
AU - Bezmarevic, Mihailo
AU - Gianotti, Luca
AU - Krznarić, Željko
AU - Lobo, Dileep N.
AU - Löser, Christian
AU - Madl, Christian
AU - Meier, Remy
AU - Phillips, Mary
AU - Rasmussen, Henrik Højgaard
AU - Van Hooft, Jeanin E.
AU - Bischoff, Stephan C.
N1 - Copyright © 2023 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
PY - 2024/2
Y1 - 2024/2
N2 - Both acute and chronic pancreatitis are frequent diseases of the pancreas, which, despite being of benign nature, are related to a significant risk of malnutrition and may require nutritional support. Acute necrotizing pancreatitis is encountered in 20 % of patients with acute pancreatitis, is associated with increased morbidity and mortality, and may require artificial nutrition by enteral or parenteral route, as well as additional endoscopic, radiological or surgical interventions. Chronic pancreatitis represents a chronic inflammation of the pancreatic gland with development of fibrosis. Abdominal pain leading to decreased oral intake, as well as exocrine and endocrine failure are frequent complications of the disease. All of the above represent risk factors related to malnutrition. Therefore, patients with chronic pancreatitis should be considered at risk, screened and supplemented accordingly. Moreover, osteoporosis and increased facture risk should be acknowledged in patients with chronic pancreatitis, and preventive measures should be considered.
AB - Both acute and chronic pancreatitis are frequent diseases of the pancreas, which, despite being of benign nature, are related to a significant risk of malnutrition and may require nutritional support. Acute necrotizing pancreatitis is encountered in 20 % of patients with acute pancreatitis, is associated with increased morbidity and mortality, and may require artificial nutrition by enteral or parenteral route, as well as additional endoscopic, radiological or surgical interventions. Chronic pancreatitis represents a chronic inflammation of the pancreatic gland with development of fibrosis. Abdominal pain leading to decreased oral intake, as well as exocrine and endocrine failure are frequent complications of the disease. All of the above represent risk factors related to malnutrition. Therefore, patients with chronic pancreatitis should be considered at risk, screened and supplemented accordingly. Moreover, osteoporosis and increased facture risk should be acknowledged in patients with chronic pancreatitis, and preventive measures should be considered.
KW - Acute pancreatitis
KW - Chronic pancreatitis
KW - Medical nutrition
KW - Nutrition
KW - Nutritional support
KW - Pancreatic diseases
UR - http://www.scopus.com/inward/record.url?scp=85181844558&partnerID=8YFLogxK
U2 - 10.1016/j.clnu.2023.12.019
DO - 10.1016/j.clnu.2023.12.019
M3 - Review article
C2 - 38169174
SN - 0261-5614
VL - 43
SP - 395
EP - 412
JO - Clinical Nutrition
JF - Clinical Nutrition
IS - 2
ER -