Nutrition in chronic pancreatitis

作     者：Henrik Hφjgaard Rasmussen φivind Irtun Sφren Schou Olesen Asbjφrn Mohr Drewes Mette Holst 

作者机构：Centre for Nutrition and Bowel Disease (CET)Department of Gastroenterology and HepatologyAalborg University HospitalFaculty of HealthAalborg University9000 AalborgDenmark Department of Gastroenterologic SurgeryUniversity Hospital North-Norway9013 Troms Norway Mech-SenseDepartment of Gastroenterology and HepatologyAalborg University Hospital9000 AalborgDenmark 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2013年第19卷第42期

页      面：7267-7275页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Chronic pancreatitis Malnutrition Nutritional risk Malabsorption Nutritional risk screening Metabolism Nutritional assessment Nutrition therapy 

摘      要：The pancreas is a major player in nutrient *** chronic pancreatitis both exocrine and endocrine insufficiency may develop leading to malnutrition over *** is often a late complication of chronic pancreatic and depends on the severity of the underlying *** severity of malnutrition is correlated with two major factors:(1)malabsorption and depletion of nutrients(e.g.,alcoholism and pain)causes impaired nutritional status;and(2)increased metabolic activity due to the severity of the *** deficiencies negatively affect outcome if they are not *** assessment and the clinical severity of the disease are important for planning any nutritional *** nutritional practice includes screening to identify patients at risk,followed by a thoroughly nutritional assessment and nutrition plan for risk *** should be multidisciplinary and the mainstay of treatment is abstinence from alcohol,pain treatment,dietary modifications and pancreatic enzyme *** achieve energy-end protein requirements,oral supplementation might be *** nutrition may be used when patients do not have sufficient calorie intake as in pylero-duodenalstenosis,inflammation or prior to surgery and can be necessary if weight loss *** nutrition is very seldom used in patients with chronic pancreatitis and should only be used in case of GI-tract obstruction or as a supplement to enteral nutrition.