Enteral nutrition and immune modulation of acute pancreatitis

作     者：Refaat A Hegazi Tiffany De Witt 

作者机构：Research and development divisionAbbott NutritionColumbusOH 43219United States 

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

年 卷 期：2014年第20卷第43期

页      面：16101-16105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：Enteral nutrition Acute pancreatitis Immune modulating 

摘      要：Enteral nutrition has been strongly recommended by major scientific societies for the nutritional management of patients with acute *** severe acute pancreatitis patients with enteral nutrition within the first 24-48 h of hospital admission can help improve outcomes compared to parenteral nutrition and no *** research is focusing in on when and what to feed to best improve outcomes for acute pancreatitis *** enteral nutrition have the potential to modulate the immune *** this consistent evidence of early enteral nutrition in patients with acute pancreatitis,clinical practice continues to vary due to individual clinician *** the immune modulating effects of enteral nutrition heavily depend on proper placement of the feeding tube and managing any tube feeding associated *** current article reviews the immune modulating effects of enteral nutrition and pro-and prebiotics and suggests some practical tools that help improve the patient adherence and tolerance to the tube *** selection of the type of the tube,close monitoring of the tube for its placement,patency and securing its proper placement and routine checking the gastric residual volume could all help improve the *** peptide-based and high medium chaintriglycerides feeding formulas help improving feeding tolerance.