Nutrition with Pancreatitis

Paper Summary:

This paper reviews the nutritional aspects of caring for individuals suffering from pancreatitis. The paper explores whether or not enteral as opposed to parenteral induction is best when administering nutrients to patients. It then examines what sorts of immuno-nutrients will best facilitate a return to robust health. In the end, the paper concludes that a proper nutritional regimen for sufferers of pancreatitis will include enteral induction and a diet heavy in Glutamine, Arginine and Omega-3 fatty acids.

From the Paper:

"In closing briefly, this paper has explored what sort of nutritional program should be followed vis-a-vis the sufferers of pancreatitis. While a paper of this length can only go into superficial detail, the available evidence indicates that enteral induction and certain immuno-nutrients - chiefly Glutamine, Arginine, and Omega-3 fatty acids - are essential components of a successful nutritional regimen. More than that, the evidence would seem to suggest that traditional isocaloric and isonitrogenous formulas, while not necessarily inefficacious, are certainly not as strong as they might be with immno-nutrient supplementation. In the end, a few changes in diet can make enormous difference."

Sample of Sources Used:

• De Beaux, A.C., O'Riordan, M.D., Ross, J., Jodozi, L., Carter, D., & Fearon, K. (1998). Glutamine-supplemented total parenteral nutrition reduces blood mono-nuclear cell interleukin-8 release in severe acute pancreatitis. Nutrition, 14: 261-265.
• Eckerwall, G., and Andersson, R. (2001). Early enteral nutrition in severe acute pancreatitis: A way of providing nutrients, gut barrier protection, Immuno-modulation, or all of them? Scandinavian Journal of Gastroenterology, 36(5): 449-458.
• Marik, Paul E., & Zaloga, Gary P. (2004, June 12). Meta-analysis of parenteral nutrition versus enteral nutrition in patients with acute pancreatitis. British Medical Journal, 328(7453): 1-6.
• Kalfarentzos F, Kehagias N, Mead K, Kokkinis K, Gogos C,A. (1997). Enteral nutrition is superior to parentera l nutrition in severe acute pancreatitis : results of a randomized prospective trial. British Journal of Surgery, 84:1665 -9.
• Pisters, P.W., & Ranson, J.H. (1992). Nutritional support for acute pancreatitis. Surgery Gynecology, and Obstetrics, 175(3): 275-284.

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