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(Institute of Medicine) Clinical Guidelines define the role of specific diagnostic and treatment modalities in the diagnosis and management of patients. Indicated, Maximize Efficacy of Parenteral Nutrition; Section H - Pulmonary Failure; Section I - Renal Failure; Section J - Hepatic Failure; Section K - Acute Pancreatitis
The evolving issues of antibiotics, nutrition, and endoscopic, radiologic, surgical, and other minimally invasive interventions will be addressed. A search of MEDLINE via the OVID interface using the MeSH term “acute pancreatitis" limited to clinical trials, reviews, guidelines, and meta-analysis for the years 1966–2012 was
4.2 In patients with severe acute pancreatitis, enteral nutrition should be commenced as soon as possible following admission (within 48 h). Enteral feeding is recommended over parenteral nutrition.
Acute pancreatitis, Starvation, Enteral nutrition, Par- enteral nutrition. Introduction . Nutritional support in acute pancreatitis: from physiopathology to practice. .. 3) Tenner s, Baillie J, DeWiTT J, veGe ss. American Col- lege of Gastroenterology Guideline: management of acute pancreatitis. Am J Gastroenterol 2013;.

The evidence in favor of intravenous feeding is, however, not supported by clinical trials. Two clinical prospective studies have been performed on the use of parenteral nutrition in acute pancreatitis (71, 75). In the study of Sax et al. (75), intravenous feeding was compared with no nutritional support.
The evidence is not conclusive to support the use of enteral nutrition in all patients with severe acute pancreatitis. However, if nutritional support is required, the enteral route should be used if that can be tolerated (recommendation grade A). The nasogastric route for feeding can be used as it appears to be effective in 80%
Summary. The two major forms of inflammatory pancreatic diseases, acute and chronic pancreatitis, require different approaches in nutritional management, which are presented in the present guideline. This clinical practice guideline gives evidence-based recommendations for the use of ONS and TF in these patients.
1ESPEN Consensus GroupP. E. Ballmer, Kantonsspital, Winterthur, SwitzerlandC. Bassi, Dipartimenti di Scienze Chirurgiche, Servizio di Chirurgia Endocrina e Pancreatica, Verona, ItalyGassull A. Miquel, Hospital Universitari Germans Trias i Pujol, Badalona, SpainL. Harsanyi, Semmelweis University, Budapest,
15 Apr 2015 This fact means that there remain today differences in opinion from center to center and country to country about the proper management of patients with acute pancreatitis. This has led in the past to several practice guidelines from various national and international professional societies that differ in their

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March 2018