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ESPEN practical guideline on clinical nutrition in acute and chronic pancreatitis.
Arvanitakis, Marianna; Ockenga, Johann; Bezmarevic, Mihailo; Gianotti, Luca; Krznaric, Zeljko; Lobo, Dileep N; Löser, Christian; Madl, Christian; Meier, Remy; Phillips, Mary; Rasmussen, Henrik Højgaard; Van Hooft, Jeanin E; Bischoff, Stephan C.
Affiliation
  • Arvanitakis M; Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, HUB Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. Electronic address: Marianna.arvanitaki@erasme.ulb.ac.be.
  • Ockenga J; Department of Gastroenterology, Endocrinology and Clinical Nutrition, Klinikum Bremen Mitte, Bremen, Germany.
  • Bezmarevic M; Department of Hepatobiliary and Pancreatic Surgery, Clinic for General Surgery, Military Medical Academy, University of Defense, Belgrade, Serbia.
  • Gianotti L; School of Medicine and Surgery, University of Milano-Bicocca and Department of Surgery, San Gerardo Hospital, Monza, Italy.
  • Krznaric Z; Department of Gastroenterology, Hepatology and Nutrition, Clinical Hospital Centre & School of Medicine, Zagreb, Croatia.
  • Lobo DN; Gastrointestinal Surgery, Nottingham Digestive Diseases Centre and National Institute for Health Research Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, School of Medicine, Queen's Medical Centre, Nottingham, NG7 2UH, UK; MRC Versus Art
  • Löser C; Medical Clinic, DRK-Kliniken Nordhessen, Kassel, Germany.
  • Madl C; Division of Gastroenterology and Hepatology, Krankenanstalt Rudolfstiftung, Krankenanstaltenverbund Wien (KAV), Vienna, Austria.
  • Meier R; AMB-Praxis-MagenDarm Basel, Basel, Switzerland.
  • Phillips M; Department of Nutrition and Dietetics, Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK.
  • Rasmussen HH; Centre for Nutrition and Bowel Disease, Department of Gastroenterology, Aalborg University Hospital, Faculty of Health, Aalborg University, Aalborg, Denmark.
  • Van Hooft JE; Department of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, the Netherlands.
  • Bischoff SC; Institute of Nutritional Medicine, University of Hohenheim, Stuttgart, Germany.
Clin Nutr ; 43(2): 395-412, 2024 02.
Article in En | MEDLINE | ID: mdl-38169174
ABSTRACT
Both acute and chronic pancreatitis are frequent diseases of the pancreas, which, despite being of benign nature, are related to a significant risk of malnutrition and may require nutritional support. Acute necrotizing pancreatitis is encountered in 20 % of patients with acute pancreatitis, is associated with increased morbidity and mortality, and may require artificial nutrition by enteral or parenteral route, as well as additional endoscopic, radiological or surgical interventions. Chronic pancreatitis represents a chronic inflammation of the pancreatic gland with development of fibrosis. Abdominal pain leading to decreased oral intake, as well as exocrine and endocrine failure are frequent complications of the disease. All of the above represent risk factors related to malnutrition. Therefore, patients with chronic pancreatitis should be considered at risk, screened and supplemented accordingly. Moreover, osteoporosis and increased facture risk should be acknowledged in patients with chronic pancreatitis, and preventive measures should be considered.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Malnutrition / Pancreatitis, Chronic Type of study: Etiology_studies / Guideline / Risk_factors_studies Aspects: Determinantes_sociais_saude Limits: Humans Language: En Journal: Clin Nutr Year: 2024 Document type: Article

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Malnutrition / Pancreatitis, Chronic Type of study: Etiology_studies / Guideline / Risk_factors_studies Aspects: Determinantes_sociais_saude Limits: Humans Language: En Journal: Clin Nutr Year: 2024 Document type: Article