A 45-year-old man on ICU with severe pancreatitis has been started on enteral nutrition via a nasojejunal tube. The dietitian recommends a polymeric (...

Question

A 45-year-old man on ICU with severe pancreatitis has been started on enteral nutrition via a nasojejunal tube. The dietitian recommends a polymeric (whole protein) feed rather than a semi-elemental (peptide-based) feed. What does current evidence say about feed type in acute pancreatitis?

Accepted Answer

Polymeric feeds are at least as well-tolerated as semi-elemental feeds in acute pancreatitis, and are cheaper; current evidence (including Cochrane reviews) shows no benefit of semi-elemental or elemental feeds over standard polymeric feeds in pancreatitis

Answer

Only parenteral nutrition should be used

Answer

Semi-elemental feeds are always required

Answer

Elemental feeds are mandatory

Answer

No nutrition should be given in pancreatitis

uk-fficm MCQ (SBA): Enteral Feed Type in Pancreatitis

A 45-year-old man on ICU with severe pancreatitis has been started on enteral nutrition via a nasojejunal tube. The dietitian recommends a polymeric (whole protein) feed rather than a semi-elemental (peptide-based) feed. What does current evidence say about feed type in acute pancreatitis?