TAKE HOME POINTS:
1.In mild Acute pancreatitis, oral nutrition should be initiated within 24 hours if tolerated.
2. Patients with recurrent acute pancreatitis or chronic pancreatitis who develop chronic diarrhea, steatorrhea and weight loss may have exocrine pancreatic insufficiency and should receive pancreatic enzyme supplementation.
3.These patients are also at risk of fat-soluble Vitamin deficiencies (Vitamin A, D, E and K) and of developing oxalate kidney stones.
REFERENCES
•Crockett SD, Wani S, Gardner TB, Falck-Ytter Y, Barkun AN; American Gastroenterological Association Institute Clinical Guidelines Committee. American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis. Gastroenterology. 2018 Mar;154(4):1096-1101. Epub 2018 Feb 3. PMID: 29409760.
•Eckerwall GE, Tingstedt BB, Bergenzaun PE, Andersson RG. Immediate oral feeding in patients with mild acute pancreatitis is safe and may accelerate recovery–a randomized clinical study. Clin Nutr. 2007 Dec;26(6):758-63.
•Capurso G, Traini M, Piciucchi M, Signoretti M, Arcidiacono PG. Exocrine pancreatic insufficiency: prevalence, diagnosis, and management. Clin Exp Gastroenterol. 2019;12:129-139. Published 2019 Mar 21.
•Cartery C, Faguer S, Karras A, et al. Oxalate nephropathy associated with chronic pancreatitis. Clin J Am Soc Nephrol. 2011;6(8):1895-1902.
•Sheu Y, Furlan A, Almusa O, Papachristou G, Bae KT. The revised Atlanta classification for acute pancreatitis: a CT imaging guide for radiologists. Emerg Radiol 2012;19(3):237–243.
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