Nutritional Support in Acute Pancreatitis and Pancreatic Cancer
All pancreatic diseases, whether inflammatory or neoplastic, cause a change in the function of the organ that translates into a digestive impairment. Furthermore, pancreatic cancer is frequently responsible for cachexia, due to its late diagnosis and the peculiar characteristics of this type of tumor. It is also known that food consumption by pancreatic patients can frequently trigger or exacerbate pain — a typical and recurrent symptom of these diseases — forcing the patient to reduce food intake. Thus it is clear why moderate to severe malnutrition can be found in patients suffering from pancreatic disease, resulting in increased morbidity, mortality, hospital stay, and management expenses for these patients. This being so, it is obvious that, for malnourished patients, the correct approach and nutritional care can optimize their management, improving outcome and reducing costs.
KeywordsPancreatic Cancer Acute Pancreatitis Parenteral Nutrition Enteral Nutrition Severe Acute Pancreatitis
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- 2.Heymsfield SB, Tighe A, Wang Z-M (1994) Nutritional assessment by anthropometric and biochemical methods. In: Shils ME, Olson JA, Shike M (eds) Modern nutrition in health and disease. Lea & Febiger, Philadelphia, pp 812–841Google Scholar
- 4.Barnsein L, Bachman TE, Meguid M et al. (1995) Measurement of visceral protein status in assessing protein and energy malnutrition: standard of care. Prealbumin in Nutritional Care Consensus Group. Nutrition 11:163–171Google Scholar
- 9.Giugoz Y, Vellas B, Gary PJ (1996) Assessing the nutritional status of the elderly: the mini nutritional assessment as part of the geriatric evaluation. Nutr Rev 54:S59–S65Google Scholar
- 14.Trujillo EB, Chertow GM, Jacobs DO (2001) Metabolic assessment. In: Rombeau JL, Rolandelli RH (eds) Parenteral nutrition. Saunders, Philadelphia, pp 80–108Google Scholar
- 16.Meguid MM, Curtas MS, Meguid V et al (1998) Effects of pre-operative TPN on surgical risk — preliminary status report. Br J Clin Pract 42(Suppl 63):53–58Google Scholar
- 31.SINPE (1995) Pancreatite acuta (Linee Guida). RINPE 13 S-2:22–24Google Scholar
- 39.Glazer G, Mann DV (1998) United Kingdom guidelines for the management of acute pancreatitis. British Society of Gastroentrology. Gut 42(Suppl 2):S1–S13Google Scholar