Nutritional Management of Acute and Chronic Pancreatitis.

There is an increased risk of malnutrition in pediatric pancreatic disorders. Acute pancreatitis results in a hypermetabolic and hypercatabolic state and enteral nutrition (EN) may improve patient outcomes. In pediatric pancreatitis, EN should be introduced early and advanced as tolerated. EN is preferred over parental nutrition. Chronic pancreatitis is associated with malnutrition, impaired growth and development, and pancreatic insufficiency. Children with chronic pancreatitis should be routinely screened for exocrine and endocrine pancreatic insufficiency and growth and nutritional deficiencies.