The physician has written an order for a nutrition consult. Using the most current literature and ASPEN guidelines, explain the role of enteral feeding in acute pancreatitis. Do you agree with the initiation of enteral feeding? Why or why not?
What will be an ideal response?
The initiation of the enteral feeding is appropriate if the patient is hemodynamically stable (Mean arterial pressure >90 mm Hg). The patient's clinical status and diagnosis of severe acute pancreatitis absolutely indicate the initiation of nutrition support. According to current ASPEN guidelines, in severe forms of pancreatitis, it is recommended that enteral nutrition is initiated within the first 24-48 hours of admission. EN will prevent bacterial translocation and the risk of sepsis. Nutritional support is also important due to the increased energy and protein needs associated with this condition. Providing adequate kcal, protein, and nutrients will help to minimize losses and optimize recovery. EN is recommended rather than PN for several reasons. Early initiation of EN has been shown to reduce the rate of mortality and infection, and to decrease the likelihood of future surgeries. In addition, EN will help to stimulate the gut, maintaining the villi and overall gut integrity. PN is only reserved for EN failure or when nutritional needs are higher than what can be met via EN and oral intake.
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