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DOI: 10.1055/s-0038-1630475
Ernährung bei akuter Pankreatitis
Nutrition in acute pancreatitisPublication History
received:
14 December 2010
Accepted after major revision
05 January 2011
Publication Date:
27 January 2018 (online)
Zusammenfassung
Die akute Pankreatitis hat im Kindesalter fast immer einen leichten Verlauf ohne Komplikationen. Damit kann sehr früh (innerhalb von 36 Stunden) mit einer oralen Ernährung begonnen werden. Bei Inappetenz, Brechneigung oder einer schweren akuten Pankreatitis ist eine enterale Ernährung über eine naso-gastrische oder transpylorische Sonde indiziert.
Verwendet werden kann eine nährstoffdefinierte Sondenkost. Bei einem paralytischen Ileus ist eine totale parenterale Ernährung indiziert.
Summary
The acute pancreatitis in childhood is in most cases mild without complications. Therefore, an oral nutrition can be started early within 36 hours. An enteral nutrition is indicated in case of inappetence, nausea or in a severe pancreatitis via a nasogastric or postpyloric (nasoduodenal, nasojejunal) tube. A polymeric formula for enteral nutrition can be used. A parenteral nutrition is indicated in patients with severe pancreatitis and paralytic ileus.
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