Patients recovering from mild acute pancreatitis typically receive a clear liquid diet CLD when ready to initiate oral nutrition. Patient discharge then depends upon successful advancement to solid food. We hypothesized that initiating oral nutrition with a low-fat solid diet LFSD after mild pancreatitis would be well-tolerated and would result in a shorter length of hospitalization LOH. Decisions about diet advancement and hospital discharge were at the discretion of the medical team without input from study team members. Patients were monitored daily for recurrence of pain, need to stop feeding, post-refeeding LOH primary endpoint, and for 28 days post-refeeding to capture readmission rates. Patients in the LFSD arm consumed significantly more calories and grams of fat than those in the CLD arm during their first meal and on study day 1. There was no difference in 28 day re-admission rates between the two arms. Acute pancreatitis results in excess of , hospitalizations in the U. The rationale for keeping patients NPO is based upon the presumption that pancreatic stimulation caused by eating may increase pancreatic inflammation. When the signs and symptoms of acute pancreatitis resolve, patients are typically placed on a clear liquid diet.
Some randomized trials in patients with mild acute pancreatitis have shown that non-liquid diets are feasible and safe[ 15 – 17 ]. All Video Images Tog. Type your search keyword. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Statistical significance cut-off for the test of heterogeneity was set at 0. Data Safety Monitoring Committee A data safety monitoring committee DSMC comprised of an independent gastroenterologist from another institution and a biostatistician MDH was established prior to trial inception. Using zucchini instead of pasta, this Italian dish is just as tasty without the carbs. Innovations and breakthroughs To review systematically the outcomes of non-liquid diet including soft and solid diet compared with clear-liquid diet in mild acute pancreatitis. We hypothesized that patients recovering from mild acute pancreatitis would be discharged sooner if they resumed feeding with a low-fat solid diet as compared to a clear liquid diet. Etiopathogenesis of acute pancreatitis. You will be checked for this problem.
Pity that clear liquid diet pancreatitis your idea
Characteristics diet Participants Table 1 provides the baseline characteristics of study participants. Nutritional management of patients with acute pancreatitis: a Dutch observational multicentre study. After an episode clear pain pancreatitis decreased LOH was not realized by bypassing a step in liquid reintroduction of oral or gelatin. Other symptoms are a tender abdomen, fever, nausea, vomiting and a rapid pulse. Address for reprints and correspondence: Brian C.