Wie lange muss man bei akuter Pankreatitis hungern?

 

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Zusammenfassung

Der Zeitpunkt der ersten Nahrungsaufnahme bei akuter Pankreatitis wurde in den letzten Jahren nach vorn verlegt. Wie bei der schweren akuten Pankreatitis bereits in den klinischen Alltag eingeführt, weisen nun erste Studien auch bei der milden akuten Pankreatitis darauf hin, dass die frühenterale Ernährung positive Effekte auf den weiteren Krankheitsverlauf hat. Diese Erkenntnisse führen zum weitgehenden Zurückdrängen der alleinigen parenteralen Ernährung. In dieser Übersichtsarbeit fassen wir den aktuellen Kenntnisstand zur Ernährungstherapie der akuten Pankreatitis zusammen und diskutieren die aktuellen Entwicklungen.

Abstract

Nutritional concepts in acute pancreatitis have changed. Early enteral nutrition widely replaced parenteral nutrition alone in severe acute pancreatitis. First trials suggest early oral refeeding as nutritional treatment of choice in patients with mild acute pancreatitis. In this review, we summarize the current knowledge on nutrition in acute pancreatitis and discuss future developments.

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Prof. Dr. Ingolf Schiefke

Klinikum St. Georg gGmbH
Klinik für Gastroenterologie und Hepatologie

Delitzscher Straße 141

04129 Leipzig

Phone: 0341/9092626

Fax: 0341/9092673

Email: ingolf.schiefke@sanktgeorg.de