Nutritional management of acute and chronic pancreatitis

R. Latifi, J. K. McIntosh, S. J. Dudrick

Research output: Contribution to journalReview article

37 Scopus citations

Abstract

Acute pancreatitis often results in a catabolic state characterized by profound hemodynamic, metabolic, cardiovascular, pulmonary, hematologic, and renal aberrations. Parenteral nutrition and metabolic support are essential if morbidity and mortality are to be minimized. In chronic pancreatitis, nutritional management ranges from fundamental dietary manipulation with or without administration of appropriate digestive enzymes to enteral supplementation with modular chemically defined diets to total parenteral nutrition, depending on the stage, severity, and manifestations of the disease. In prescribing nutrient substrates in both acute and chronic pancreatitis, consideration must be given to their effects on pancreatic enzyme secretion if optimal results are to be achieved.

Original languageEnglish (US)
Pages (from-to)579-595
Number of pages17
JournalSurgical Clinics of North America
Volume71
Issue number3
DOIs
StatePublished - Jan 1 1991

ASJC Scopus subject areas

  • Surgery

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