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Dietary intake in patients with chronic pancreatitis:A systematic review and meta-analysis

World Journal of Gastroenterology 2021年第34期27卷 5775-5792页

作者： Qurat Ul Ain Yasir Bashir Linda Kelleher David m Bourne Suzanne m Egan Jean mcmahon Laura Keaskin oonagh m griffin Kevin C Conlon Sinead N Duggan Professorial Surgical Unit Department of SurgeryTrinity College DublinDublin 24 D24 NR0AIreland Department of Nutrition and Dietetics Tallaght University HospitalDublin 24 D24 NR0AIreland Department of Newcastle Nutrition Freeman HospitalNewcastle Upon Tyne NE77DNUnited Kingdom Library and Information Services Tallaght Tallaght University HospitalDublin 24 D24 NR0AIreland Department of Nutrition and Dietetics St.Vincent’s University HospitalDublin 4 D04 T6F4Ireland

BACKGROUND A progressive reduction in the secretion of pancreatic enzymes in patients with chronic pancreatitis(CP)results in malabsorption and ultimate ***,the pathogenesis of malnutrition is multifactorial and other factors such as chronic inflammation,alcohol excess and poor dietary intake all *** may restrict their dietary intake due to poor appetite or to avoid gastrointestinal symptoms and abdominal *** up to half of patients with chronic pancreatitis are reportedly malnourished,the dietary intake of patients with CP is relatively understudied and has not been systematically reviewed to *** To perform a systematic review and meta-analysis of the dietary intakes of patients with CP compared to healthy controls,and to compare the dietary intake of patients with alcohol-related CP and non-alcohol-related *** A systematic literature search was performed using EmBASE,mEDLINE,and Cochrane review on studies published between 1946 and August 30th,*** subjects with a diagnosis of CP who had undergone dietary assessment were included in the systematic review(qualitative analysis).Studies on patients with other pancreatic diseases or who had undergone pancreatic surgery were not *** comparing the dietary intake of patients with CP to that of healthy controls were included in the meta-analysis(quantitative analysis).metaanalysis was performed using Review manager *** Ottawa Scale(NOS)was used to assess quality of *** Of 6715 studies retrieved in the search,23 were eligible for qualitative analysis while 12 were eligible for quantitative *** the meta-analysis,the total energy(calorie)intake of patients with CP was similar to that of healthy controls[mean difference(mD):171.3;95%confidence interval(CI):-226.01,568.5;P=0.4],however patients with CP consumed significantly fewer non-alcohol calories than controls[mD:-694.1;95%CI:-1256.1,(-132.1);P=0.02].CP patients consumed m

关键词： Systematic review meta-analysis Chronic pancreatitis Dietary intake Undernutrition Alcohol-related chronic pancreatitis

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