¿Is nutritional support necessary in mild acute pancreatitis?
DOI:
https://doi.org/10.24054/cbs.v2i1.2774Keywords:
Nutritional support, acute pancreatitis, nutrition, bacterial translocationAbstract
Introduction: Acute pancreatitis is an inflammatory pathophysiological process of the pancreas, with a high incidence in the population and a significant burden of associated disease. Numerous studies have established the importance of enteral nutritional support due to its ability to preserve the intestinal mucosa, prevent disruption of the epithelium and bacterial translocation responsible for clinical complications. Methods: A bibliographic review was carried out on ninety articles published between 2015 and 2023 in PubMed, National Library of Medicine, and Google Scholar with the purpose of systematically demonstrating whether nutritional support is necessary in mild acute pancreatitis. Results: After the methodological application, the twelve articles studied highlight the relevance of the type of support, effectiveness in reducing pain and the relationship between hospital stay and enteral nutritional support. Conclusion: The systematic review supports the relevance of enteral nutritional support in patients with mild acute pancreatitis, underlining the importance of assessing patient tolerance and gradually advancing towards an oral diet.
References
Álvarez-Aguilar, P. A., & Dobles-Ramírez, C. T. (2019). Pancreatitis aguda: fisiopatología y manejo inicial. Acta médica costarricense, 61(1), 13-21.
Banks, P. A., Bollen, T. L., Dervenis, C., Gooszen, H. G., Johnson, C. D., Sarr, M. G., & Vege, S. S. (2013). Classification of acute pancreatitis—2012: revision of the Atlanta classification and definitions by international consensus. Gut, 62(1), 102-111.
Canicoba, M. (2019). Actualización en el manejo inicial de la pancreatitis aguda. Acta Gastroenterológica Latinoamericana, 49(4), 307-323.
Cecenarro, R. R., Bonci, L., & Kasparian, A. (2018). Nutrición enteral temprana en pacientes con pancreatitis agudas leves: estudio clínico randomizado. Revista de la Facultad de Ciencias Médicas de Córdoba, 75(4), 240-247.
Cúrdia Gonçalves, T., Capela, T. L., & Cotter, J. (2023). Nutrition in Pancreatic Diseases: A Roadmap for the Gastroenterologist. GE-Portuguese Journal of Gastroenterology, 31(1), 1-13.
García Almansa, A., & García Peris, P. (2008). Tratamiento nutricional de los enfermos con pancreatitis aguda: cuando el pasado es presente. Nutrición Hospitalaria, 23(Supl. 2), 52-58.
Delgado, J. E., Rodríguez, D., & Villalobos, M. S. (2023). La Pancreatitis Aguda: diagnóstico y manejo. Revista de la Facultad de Medicina de la Universidad de Iberoamérica, 2(2), 45-56.
Esmer, David, Rivera-Villalobos, Oscar, Hernández-Sierra, Juan F., Valencia-Sánchez, Liliana D., & Sánchez, Martín. (2021). Tolerancia a la alimentación inmediata en los pacientes con pancreatitis biliar leve. Cirugía y cirujanos, 89(2), 243-247.
González Zamudio, L. Actualizaciones en el tratamiento nutricional de los pacientes con pancreatitis aguda, revisión bibliográfica.
Gutiérrez-Grijalva, E. P., Zamudio-Sosa, V. E., Contreras-Angulo, L. A., Leyva-López, N., & Heredia, J. B. (2022). Bioaccessibility of phenolic compounds from mistletoe infusions and effect of in vitro digestion on its antioxidant and pancreatic lipase inhibitory activity. Foods, 11(21), 3319.
Lakananurak, N., & Gramlich, L. (2020). Nutrition management in acute pancreatitis: Clinical practice consideration. World journal of clinical cases, 8(9), 1561.
López, D. A. L. (2021). Características bioquímicas y clínicas de los pacientes con pancreatitis aguda que iniciaron nutrición temprana contra los que iniciaron nutrición tardía en el Hospital General De Cuernavaca.
Mayorga-Garcés, A., Otero-Regino, W., & Parga-Bermúdez, J. (2020). Nutrición en pancreatitis aguda: nuevos conceptos para un viejo problema. Revista colombiana de Gastroenterología, 35(4), 465-470.
Matanó, R., Mazza, O., Guidi, M., Curvale, C., Pasqua, A., Hwang, H. J.
Meng, W. B., Li, X., Li, Y. M., Zhou, W. C., & Zhu, X. L. (2011). Three initial diets for management of mild acute pancreatitis: a meta-analysis. World journal of gastroenterology: WJG, 17(37), 4235.
Marik, P. E. (2009). What is the best way to feed patients with pancreatitis? Current opinion in critical care, 15(2), 131-138.
Navarro, R. G., & Cordero, G. A. S. (2020). Actualización en el diagnóstico y manejo de la pancreatitis aguda. Revista Ciencia y Salud Integrando Conocimientos, 4(5), ág-51.
Ortega, M. A. N., Cedeño, G. K. C., Veliz, J. E. P., Cedeño, D. A. B., Ullauri, A. C. P., & Loor, C. J. M. (2023). Pancreatitis aguda y óptimas medidas del soporte nutricional.
Puerto H, Leidy Juliana, Medina R, Rolando, Núñez R, Luis Ramiro, Jiménez S, Héctor Conrado, Olaya R, Justo Germán, Sanjuán M, Juan Felipe, Puerto H, Sergio Andrés, Martínez M, Carlos Mauricio, & Medina C, María Mónica. (2019). Manejo y desenlaces de la pancreatitis aguda en un hospital de cuarto nivel (Huila, Colombia), 3 años de experiencia. Revista Colombiana de Gastroenterología, 34(1), 10-16.
Real, C., Navarro, P., Gómez, E., & Canicoba, M. (2022). Evaluación y tratamiento nutricional en pacientes con pancreatitis aguda: estudio observacional en el Hospital Nacional Alejandro Posadas. Revista De Nutrición Clínica Y Metabolismo, 5(4).
Rodríguez, R. D. R., Cevallos, K. M. Z., Delgado, M. S. L., & Sanchez, Y. V. R. (2022). Manejo del paciente con pancreatitis aguda. RECIAMUC, 6(4), 136-143.
Vega, A. T., Carrasco, M. F., Márquez, F. J., Lima, N. G. S., Urbina, B. V., & Olivera, N. O. (2008). Nutrición enteral, intervención segura en la Unidad de Terapia Intensiva. Medicina Crítica, 22(4), 226-235.
Yanallalli Pillaca, L. N. (2023). Efectividad de la nutrición enteral comparado con la nutrición parenteral en pacientes con pancreatitis en el área de emergencias.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista Ciencias Básicas en Salud
![Creative Commons License](http://i.creativecommons.org/l/by-nc/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors publishing in this journal agree to the following terms:
1. Authors retain the moral rights of the work and grant the journal the right of first publication. This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0 DEED), which allows third parties to use the work as long as proper credit is given to the authors and the first publication in this journal. Commercial use of the work is not permitted, and derivative works cannot be created.
2. Authors may enter into separate, additional contractual agreements for the non-exclusive distribution of the article's published version in this journal (e.g., including it in an institutional repository or publishing it in a book), provided that it is clearly indicated that the work was first published in this journal.
3. Authors are permitted and encouraged to post their work online (e.g., on institutional or personal websites) before and during the review and publication process, as it can lead to productive exchanges and wider and faster dissemination of the published work.