Affiliation:
1. Department of Critical Care Medicine, Nanjing First Hospital Nanjing Medical University Nanjing Jiangsu Province China
2. Department of Critical Care Medicine, Jinling Hospital, Affiliated Hospital of Medical School Nanjing University Nanjing Jiangsu Province China
3. Research Institute of Critical Care Medicine and Emergency Rescue At Nanjing University Nanjing Jiangsu Province China
Abstract
AbstractA significant proportion of patients (10%–20%) with acute pancreatitis develop severe acute pancreatitis characterized by pancreatic necrosis, systemic inflammation, and organ failure, commonly requiring intensive care unit (ICU) admission. In this specific population, nutrition therapy is more challenging than that in the general ICU population, primarily because of inevitable gastrointestinal involvement by pancreatic inflammation. In this review, we discussed several key aspects of nutrition therapy in this population, including key pathophysiology that may impede nutrition therapy, the timing and implementation of enteral nutrition and parenteral nutrition, the importance of specific nutrient supplements, and the long‐term outcomes that may be addressed by nutrition therapy.