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Nutritional management of patients with acute pancreatitis: a Dutch observational multicentre study
Author(s) -
SPANIER B. W. M.,
MATHUSVLIEGEN E. M. H.,
TUYNMAN H. A. R. E.,
VAN DER HULST R. W. M.,
DIJKGRAAF M. G. W.,
BRUNO M. J.
Publication year - 2008
Publication title -
alimentary pharmacology and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.308
H-Index - 177
eISSN - 1365-2036
pISSN - 0269-2813
DOI - 10.1111/j.1365-2036.2008.03814.x
Subject(s) - medicine , parenteral nutrition , regimen , enteral administration , acute pancreatitis , pancreatitis , observational study , starvation , gastroenterology , jejunum , surgery , pediatrics
Summary Background Following a nil per os (NPO) regimen, most patients with acute pancreatitis (AP) can resume normal oral intake within 1 week. If not tolerated, it is recommended to initiate artificial feeding, preferably by the enteral route. Aim To evaluate the nutritional management of patients with AP in a Dutch cohort (EARL study). Methods Observational study in 18 hospitals. Total days of NPO, tube feeding (TF) with/without oral feeding, total parenteral nutrition (TPN) and total starvation time were analysed. Results In mild AP, a majority of cases (80.7%, 117/145) were managed with an NPO regimen only. Twenty‐seven patients (18.6%) with mild AP additionally received TF; one received TPN. Of those with severe AP, more than half of the patients (56.2%, nine of 16) were treated with TF besides an NPO regimen; four received TPN. TF was delivered preferably via the jejunal route. The median period of total starvation was 2 days for both mild and severe AP. Only 5.5% (nine of 164) of patients had a prolonged starvation time of more than 5 days. Conclusions The total time of starvation was limited in a majority of patients admitted for AP. According to international guidelines, additional nutritional interventions were quickly undertaken with enteral feeding via the jejunum as the preferred route.