Do the Complications of Acute Pancreatitis Constitute Contra-Indications for the Administration of Enteral Nutrition?
Pancreatic ascites, pancreatic fistulas and pancreatic pseudocysts are complications in the normal course of patients with severe acute pancreatitis. There are a large number of retrospective studies, with small numbers of patients, from which it has been shown that the administration of enteral nutrition is a safe and efficient way of supporting the nutrition of patients with complications of acute pancreatitis [17, 39, 53]. In these patients, although the acute phase of pancreatitis has passed, hospitalization is still needed and their energy requirements should be supported by enteral nutrition with a nasojejunal tube or by the oral administration of a monomeric or oligopeptide, usually, immunomodulative solution for enteral nutrition. This treatment is followed only by minor diarrhea which is usually managed by making adjustments to the solutions administered and with the administration of antidiarrhoic drugs, and the cessation of the enteral nutrition is rarely necessary [15, 17,
