The Benefits of Early Oral Nutrition in Mild Acute Pancreatitis
| Autor: | Cheryl E. Gariepy, Kate M. Ellery, Wallace Crandall, Soma Kumar |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Pediatrics
medicine.medical_specialty business.industry Hospitalized patients Length of hospitalization Retrospective cohort study Low fat diet medicine.disease Clinical trial 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Pediatrics Perinatology and Child Health Medicine Acute pancreatitis 030211 gastroenterology & hepatology business |
| Zdroj: | The Journal of Pediatrics. 191:164-169 |
| ISSN: | 0022-3476 |
| DOI: | 10.1016/j.jpeds.2017.08.032 |
| Popis: | Objective To determine whether early patient-directed oral nutrition in children with mild acute pancreatitis decreases the length of hospitalization without increasing complications. Study design Hospitalized patients aged 2-21 years of age who met the criteria for acute pancreatitis based on the Revised Atlanta Classification were enrolled prospectively and allowed to eat by mouth at their discretion (patient-directed nutrition [PDN]). These patients were compared with a retrospective cohort of children who were allowed to eat based on traditional practices (treatment team-directed nutrition [TTDN]). Outcomes included length of hospitalization, time nil per os (NPO), and complications within 30 days of discharge. Results The study included 30 patients in the PDN group and 92 patients in the TTDN group. Patients in the PDN group had a median length of stay of 48.5 hours (IQR 37-70 hours) compared with 93 hours (IQR 52-145 hours) in the TTDN group ( P P Conclusion Early patient-directed oral nutrition in mild acute pancreatitis was well tolerated and resulted in decreased length of NPO status and hospitalization with no obvious complications. Clinical Trial Registration ClinicalTrials.gov : NCT01423786. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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