The oral refeeding trilemma of acute pancreatitis: what, when and who?

被引：20

作者：

Bevan, Melody G. ^{[1
]}

Asrani, Varsha ^{[1
]}

Petrov, Maxim S. ^{[1
]}

机构：

[1] Univ Auckland, Dept Surg, Auckland 1, New Zealand

来源：

EXPERT REVIEW OF GASTROENTEROLOGY & HEPATOLOGY | 2015年 / 9卷 / 10期

关键词：

acute pancreatitis; gut rousing; nutritional management; oral feeding intolerance; oral refeeding; patient-centered care; MILD ACUTE-PANCREATITIS; MODERATE ACUTE-PANCREATITIS; DELAYED ENTERAL NUTRITION; CLEAR LIQUID DIET; INITIAL MEAL; CLINICAL-TRIAL; MULTICENTER-TRIAL; RANDOMIZED-TRIAL; SOLID DIET; SOFT DIET;

D O I：

10.1586/17474124.2015.1079125

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

100201 [内科学];

摘要：

Tolerance of oral refeeding is an essential goal of nutritional management of acute pancreatitis. However, oral feeding intolerance remains one of the most common complications in patients with this disease. It often results in longer periods of hospitalization, increased treatment costs, increased risk of readmission, and reduced quality of life. The traditional practice involves keeping patients nil by mouth followed by gradual stepwise reintroduction of food. However, it does not have a solid evidence base and, hence, there is increasing interest in determining alternative strategies that may be beneficial in reducing the occurrence of oral feeding intolerance. This review focuses on the randomized controlled trials that investigated the key questions informing the nutritional management of acute pancreatitis: when to feed, what to feed and who is in charge of the decision-making.

引用

页码：1305 / 1312

页数：8

共 34 条

[1]

[Anonymous], 2013, EVID-BASED COMPL ALT

[2]

Early versus On-Demand Nasoenteric Tube Feeding in Acute Pancreatitis [J].

Bakker, O. J. ;

van Brunschot, S. ;

van Santvoort, H. C. ;

Besselink, M. G. ;

Bollen, T. L. ;

Boermeester, M. A. ;

Dejong, C. H. ;

van Goor, H. ;

Bosscha, K. ;

Ali, U. Ahmed ;

Bouwense, S. ;

van Grevenstein, W. M. ;

Heisterkamp, J. ;

Houdijk, A. P. ;

Jansen, J. M. ;

Karsten, T. M. ;

Manusama, E. R. ;

Nieuwenhuijs, V. B. ;

Schaapherder, A. F. ;

van der Schelling, G. P. ;

Schwartz, M. P. ;

Spanier, B. W. M. ;

Tan, A. ;

Vecht, J. ;

Weusten, B. L. ;

Witteman, B. J. ;

Akkermans, L. M. ;

Bruno, M. J. ;

Dijkgraaf, M. G. ;

van Ramshorst, B. ;

Gooszen, H. G. .

NEW ENGLAND JOURNAL OF MEDICINE, 2014, 371 (21) :1983-1993

[3]

Pancreatitis, very early compared with normal start of enteral feeding (PYTHON']PYTHON trial): design and rationale of a randomised controlled multicenter trial [J].

Bakker, Olaf J. ;

van Santvoort, Hjalmar C. ;

van Brunschot, Sandra ;

Ali, Usama Ahmed ;

Besselink, Marc G. ;

Boermeester, Marja A. ;

Bollen, Thomas L. ;

Bosscha, Koop ;

Brink, Menno A. ;

Dejong, Cornelis H. ;

van Geenen, Erwin J. ;

van Goor, Harry ;

Heisterkamp, Joos ;

Houdijk, Alexander P. ;

Jansen, Jeroen M. ;

Karsten, Thom M. ;

Manusama, Eric R. ;

Nieuwenhuijs, Vincent B. ;

van Ramshorst, Bert ;

Schaapherder, Alexander F. ;

van der Schelling, George P. ;

Spanier, Marcel B. M. ;

Tan, Adriaan ;

Vecht, Juda ;

Weusten, Bas L. ;

Witteman, Ben J. ;

Akkermans, Louis M. ;

Gooszen, Hein G. .

TRIALS, 2011, 12

[4]

Determinant-Based Classification of Acute Pancreatitis Severity An International Multidisciplinary Consultation [J].

Dellinger, E. Patchen ;

Forsmark, Christopher E. ;

Layer, Peter ;

Levy, Philippe ;

Maravi-Poma, Enrique ;

Petrov, Maxim S. ;

Shimosegawa, Tooru ;

Siriwardena, Ajith K. ;

Uomo, Generoso ;

Whitcomb, David C. ;

Windsor, John A. .

ANNALS OF SURGERY, 2012, 256 (06) :875-880

[5]

Deprez PH, 2008, GASTROENTEROLOGY, V134, pA119

[6]

Immediate oral feeding in patients with mild acute pancreatitis is safe and may accelerate recovery - A randomized clinical study [J].

Eckerwall, Gunilla E. ;

Tingstedt, Bobby B. A. ;

Bergenzalun, Per E. ;

Andersson, Roland G. .

CLINICAL NUTRITION, 2007, 26 (06) :758-763

[7]

Early Jejunal Feeding Initiation and Clinical Outcomes in Patients with Severe Acute Pancreatitis [J].

Hegazi, Refaat ;

Raina, Amit ;

Graham, Toby ;

Rolniak, Susan ;

Centa, Patty ;

Kandil, Hossam ;

O'Keefe, Stephen J. .

JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 2011, 35 (01) :91-96

[8]

A prospective, randomized trial of clear liquids versus low-fat solid diet as the initial meal in mild acute pancreatitis [J].

Jacobson, Brian C. ;

Vander Vliet, Martha B. ;

Hughes, Michael D. ;

Maurer, Rie ;

McManus, Katherine ;

Bankst, Peter A. .

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2007, 5 (08) :946-951

[9]

Noninferiority Trials Is a New Treatment Almost as Effective as Another? [J].

Kaji, Amy H. ;

Lewis, Roger J. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2015, 313 (23) :2371-2372

[10]

Early and/or immediately full caloric diet versus standard refeeding in mild acute pancreatitis: A randomized open-label trial [J].

Larino-Noia, J. ;

Lindkvist, B. ;

Iglesias-Garcia, J. ;

Seijo-Rios, S. ;

Iglesias-Canle, J. ;

Dominguez-Munoz, J. E. .

PANCREATOLOGY, 2014, 14 (03) :167-173

← 1 2 3 4 →