Early Patient-Directed Nutrition in Children with Acute Mild Pancreatitis

Patient-directed early nutrition reduced both length of stay and time of NPO.

Nutrition is an important consideration in treating acute pancreatitis, but the preferred nutritional protocol has not been established. Investigators assessed 30 patients at one hospital (mean age, 12 years) who were admitted with mild acute pancreatitis (based on clinical symptoms, amylase or lipase >3 times normal, or pancreatic imaging) and allowed a low-fat diet (<5 g fat per entrée and <1 g fat per snack) at their own direction. They compared the patients with 87 matched historical controls who received nutrition at the direction of the treatment team (NPO on admission until symptoms subsided).

Infectious etiologies were the most common cause of acute pancreatitis in the study group. Three patients receiving patient-directed nutrition …

Reviewing Author

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

Early Patient-Directed Nutrition in Children with Acute Mild Pancreatitis

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Reviewing Author