Recent Advances on Nutrition in Treatment of Acute Pancreatitis

被引:39
作者
Pan, Li-Long [1 ,2 ]
Li, Jiahong [3 ,4 ]
Shamoon, Muhammad [3 ,4 ]
Bhatia, Madhav [5 ]
Sun, Jia [2 ,3 ,4 ]
机构
[1] Fudan Univ, Sch Pharm, Dept Pharmacol, Shanghai, Peoples R China
[2] Jiangnan Univ, Sch Med, Wuxi, Peoples R China
[3] Jiangnan Univ, State Key Lab Food Sci & Technol, Wuxi, Peoples R China
[4] Jiangnan Univ, Sch Food Sci & Technol, Nutr & Immunol Lab, Wuxi, Peoples R China
[5] Univ Otago, Dept Pathol, Inflammat Res Grp, Christchurch, New Zealand
来源
FRONTIERS IN IMMUNOLOGY | 2017年 / 8卷
基金
中国国家自然科学基金;
关键词
clinical management of acute pancreatitis; nutritional interventions; probiotics; prebiotics; vitamins; amino acids; omega-3 fatty acids; RANDOMIZED CONTROLLED-TRIALS; PLACEBO-CONTROLLED TRIAL; TOTAL PARENTERAL-NUTRITION; EARLY ENTERAL NUTRITION; MILD ACUTE-PANCREATITIS; DOUBLE-BLIND; GLUTAMINE SUPPLEMENTATION; PROBIOTIC PROPHYLAXIS; ANTIOXIDANT THERAPY; BARRIER DYSFUNCTION;
D O I
10.3389/fimmu.2017.00762
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Acute pancreatitis (AP) is a common abdominal acute inflammatory disorder and the leading cause of hospital admission for gastrointestinal disorders in many countries. Clinical manifestations of AP vary from self-limiting local inflammation to devastating systemic pathological conditions causing significant morbidity and mortality. To date, despite extensive efforts in translating promising experimental therapeutic targets in clinical trials, disease-specific effective remedy remains obscure, and supportive care has still been the primary treatment for this disease. Emerging evidence, in light of the current state of pathophysiology of AP, has highlighted that strategic initiation of nutrition with appropriate nutrient supplementation are key to limit local inflammation and to prevent or manage AP-associated complications. The current review focuses on recent advances on nutritional interventions including enteral versus parenteral nutrition strategies, and nutritional supplements such as probiotics, glutamine, omega-3 fatty acids, and vitamins in clinical AP, hoping to advance current knowledge and practice related to nutrition and nutritional supplements in clinical management of AP.
引用
收藏
页数:10
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