BMJ  2004;328 (12 June), doi:10.1136/bmj.328.7453.0-b

Enteral nutrition is better than parenteral in acute pancreatitis

Patients with acute pancreatitis do better when they have enteral nutrition. Reviewing 112 articles, Marik and Zaloga (p 1407) identified six trials in which 263 patients with acute pancreatitis were randomised to enteral or parenteral nutrition. They found that those who had had enteral nutrition, delivered through a nasojejunal tube, had significantly fewer infections or surgical interventions and were in hospital for a significantly shorter time than those who had had parenteral nutrition. Mortality or non-infectious complications were similar in the two groups.

Credit: MEDISCAN

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Relevant Article

Meta-analysis of parenteral nutrition versus enteral nutrition in patients with acute pancreatitis

Paul E Marik and Gary P Zaloga
BMJ 2004 328: 1407. [Abstract] [Full Text] [PDF]