Beger h g, krautzberger w, bittner r, block s, buchler m. Laurenteric tiengou, et al, 2006, semielemental formula or polymeric formula. Phillips, md, clinical professor of medicine, the george washington university school of medicine, washington, dc. Pancreatitis is an uncommon disease characterized by inflammation of the pancreas. American gastroenterological association institute. American gastroenterological association institute guideline. Su manejo en cuidados intensivos find, read and cite all the research. It is a condition that arises suddenly and may be quite severe, although patients usually have a complet e recovery from an acute attack. Current evidence abstract acute pancreatitis is one of the most common gastrointestinal disorders requiring hospitalization. Mild disease is associated with minimal organ dysfunction and rapid recovery, while severe disease is associated with multiple organ system failure and local complications such as. Garciaalonso, et al 2012, nutricion en pancreatitis aguda, nutr hosp. Acute pancreatitis ap is a common severe illness of the digestive tract with variable involvement of other regional tissues andor remote organ systems. Acute pancreatitis affects about 50,000 80,000 americans each year. Acute pancreatitis can be a lifethreatening illness with severe complications.
The timing, route and composition of enteral nutrition are discussed with. Randomized comparative study, jpen j parenter enteral nutr 2006 30. Pancreatitis, colocalizacion, catepsina b, translocacion bacteriana, sdra, apache 11, colangiopancreatografia, papilotomia, laparostomia, falla multiorganica. The oral route should be started once abdominal pain has subsided and enzyme levels have returned to normal values. Formula supplementation with glutamine and omega3 improves the clinical outcomes. Revision nutricion artificial y pancreatitis aguda. The 3 main causes in order of importance gallstones, prolonged consumption of alcohol and hypertriglyceridemia.
Chronic pancreatitis leads to fibrosis of the organ with progressive destruction of the endocrine and exocrine tissues. The use of enteral feeding as part of the management of acute pancreatitis dates back almost two decades. Is there a better choice for enteral nutrition in acute pancreatitis. The application of enteral feeding in acute pancreatitis is much debated. Pancreatitis aguda dano tisular tambien influyen en este proceso. Ultima revision 10262017 version en ingles revisada por. This document presents the official recommendations of the american gastroenterological association aga on the initial management of acute pancreatitis ap. Results of surgical treatment of necrotizing pancreatitis. The guideline was developed by the agas clinical practice guideline committee and approved by the aga governing board. Pancreatitis alcoholica mortalidad global del 10 %.