Abstract: Interpretation of clinical nutrition guidelines to acute and chronic pancreatitis by the European Society for Clinical Nutrition and Metabolism in 2020        ZHU Gui-ying, WANG Chang-miao, LIAO Shi-yao, et al. Department of General Surgery of Integrated Chinese and Western Medicine, the First Affiliated Hospital of Dalian Medical University；Institute (College) of Integrated Chinese and Western Medicine, Dalian Medical University, Dalian 116000, China
Corresponding author:WANG Chang-miao,E-mail:wangchangmiaodl@sohu.com
Abstract    Acute and chronic pancreatitis are the two main forms of inflammatory pancreatic disease and require different nutritional treatment strategies. In recent years, research on the relationship between metabolism, diet, clinical nutrition and pancreas has been gradually deepened, and nutritional treatment of acute and chronic pancreatitis has also been paid more and more attention. In January 2020, the European Society for Clinical Nutrition and Metabolism (ESPEN) published the latest clinical nutrition guidelines for acute and chronic pancreatitis. It is based on ESPEN Guidelines on Nutrition in Acute Pancreatitis, ESPEN Guidelines on Enteral Nutrition:Pancreas, ESPEN Guidelines on Parenteral Nutrition: Pancreas. The new guidelines provide 42 consensus recommendations and 7 statements on 31 key issues of acute and chronic pancreatitis, mainly related to the nutrition risk assessment of acute and chronic pancreatitis, the timing of clinical nutrition intervention, the intervention route, the type of intervention and other treatment processes key issues. It summarizes the latest guiding principles and specific diagnosis and treatment measures for clinical nutrition diagnosis and treatment of acute and chronic pancreatitis, providing clinicians with more comprehensive guidance.

Key words: acute pancreatitis, chronic pancreatitis, clinical nutrition guideline, European Society for Clinical Nutrition and Metabolism

摘要：

急性胰腺炎和慢性胰腺炎是炎性胰腺疾病的两种主要形式，需要不同的营养治疗策略。近年来，对代谢、饮食、临床营养和胰腺关系的研究逐渐深入，急慢性胰腺炎的营养治疗也越来越受到重视。2020年1月欧洲临床营养和代谢学会（ESPEN）发布了最新的急慢性胰腺炎临床营养指南。这是在2002年急性胰腺炎的临床营养指南、2006年慢性胰腺炎的肠内营养指南、2009年胰腺胃肠外营养指南的基础上，进行高度总结发布的最新的急慢性胰腺炎临床营养指南。改版指南针对急慢性胰腺炎的31个关键问题提出了42条共识性建议和7个声明，主要涉及急慢性胰腺炎的临床营养风险评估、营养干预时机、干预途径、干预类型等治疗过程中的关键问题。较全面地总结和概括了最新的急慢性胰腺炎的临床营养诊治原则和诊疗措施，为急慢性胰腺炎的临床营养诊疗提供了更全面的指导。

关键词: 急性胰腺炎, 慢性胰腺炎, 临床营养指南, 欧洲临床营养和代谢学会