Chapter 114

Nutrition Supplementation

Joshua D. Novak

Joshua D. Novak

University of Pittsburgh, Pittsburgh, PA, USA

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Stephen J. D. O’Keefe

Stephen J. D. O’Keefe

University of Pittsburgh, Pittsburgh, PA, USA

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First published: 27 November 2015

Summary

This chapter outlines the assessment of the patient for nutrition support and then discusses the most efficacious method(s) to provide the nutrition. The initiation of nutrition support depends upon the type of nutrition that can be delivered (parenteral vs enteral nutrition), the nutritional state of the patient, along with their current disease state. Parenteral nutrition is valuable in breaking the cycle of malabsorption and malnutrition to allow for regeneration of digestive function in extremely depleted patients. Patients with severe short bowel syndrome (SBS) require parenteral support. Enteral nutrition is the standard of care when it comes to delivering nutrition to a patient with severe acute pancreatitis. With the assistance of home care companies, both enteral and parenteral feeding can be managed at home. This excludes well-nourished patients who only required temporary nutritional support during their hospitalization and were able to resume their usual oral intake.

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