Nutrition in acute pancreatitis

The management of acute pancreatitis depends on the evaluation of its severity, mainly based on multiparameter scores such as Ranson score. Patients with mild or moderate acute pancreatitis are characterized by a spontaneous recovery and do not require enteral or parenteral nutrition. Patients with severe pancreatitis need a nutritional support. According to present data, enteral nutrition should be preferred to parenteral nutrition. Parenteral nutrition should be used in cases with prolonged ileus, when patient do not tolerate enteral nutrition and when enteral nutrition is not unable to satisfy nutritional requirements.