Clinical trial: oral feeding with a soft diet compared with clear liquid diet as initial meal in mild acute pancreatitis

Sathiaraj, E.; Murthy, S.; Mansard, Magnus J.; Rao, G. V.; Mahukar, S.; Reddy, D. Nageshwar

doi:10.1111/j.1365-2036.2008.03794.x

Cited by 103 publications

(75 citation statements)

References 11 publications

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“…Thirty-three articles (21 articles containing patients suffering from SAP as well as 12 articles with MAP patients) were selected. They contained two nonrandomized and 31 randomized controlled clinical trials (Table 2) [16][17][18][19][20][21][22][23][24][25][26][27]29,[31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50]. Finally, statistical analyses were performed on data from articles where both EN and NPO groups were presented, the trial was randomized, and the relevant data were available.…”

Section: Inclusions and Exclusionsmentioning

confidence: 99%

Meta-analysis of early nutrition: the benefits of enteral feeding compared to a nil per os diet not only in severe, but also in mild and moderate acute pancreatitis

2017

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Abstract:The recently published guidelines for acute pancreatitis (AP) suggest that enteral nutrition (EN) should be the primary therapy in patients suffering from severe acute pancreatitis (SAP); however, none of the guidelines have recommendations on mild and moderate AP (MAP). A meta-analysis was performed using the preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P). The following PICO (problem, intervention, comparison, outcome) was applied: P: nutrition in AP; I: enteral nutrition (EN); C: nil per os diet (NPO); and O: outcome. There were 717 articles found in Embase, 831 in PubMed, and 10 in the Cochrane database. Altogether, seven SAP and six MAP articles were suitable for analyses. In SAP, forest plots were used to illustrate three primary endpoints (mortality, multiorgan failure, and intervention). In MAP, 14 additional secondary endpoints were analyzed (such as CRP (C-reactive protein), WCC (white cell count), complications, etc.). After pooling the data, the Mann-Whitney U test was used to detect significant differences. Funnel plots were created for testing heterogeneity. All of the primary endpoints investigated showed that EN is beneficial vs. NPO in SAP. In MAP, all of the six articles found merit in EN. Analyses of the primary endpoints did not show significant differences between the groups; however, analyzing the 17 endpoints together showed a significant difference in favor of EN vs. NPO. EN is beneficial compared to a nil per os diet not only in severe, but also in mild and moderate AP.

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Section: Inclusions and Exclusionsmentioning

confidence: 99%

Meta-analysis of early nutrition: the benefits of enteral feeding compared to a nil per os diet not only in severe, but also in mild and moderate acute pancreatitis

2017

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“…The results support the hypothesis that alcohol played a crucial role in pancreatitis mortality in Russia over the past decades. This study also indicates that substantial proportion of pancreatitis deaths in Russia is due to acute effect of binge drinking 9 . Results of one study had 964 admissions with the diagnosis acute pancreatitis, making an incidence of 5.64 per 100 000 inhabitants per year.…”

Section: Literature Surveymentioning

confidence: 82%

Incidence Rate and Etiological Factors of Pancreatitis in Alcoholic and Non-alcoholic Patients

Shirisa¹,

Kumar²,

Das³

2017

Curr. Res. Pharm. Sci.

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To study the incidence and etiological factors of pancreatitis in both alcoholics and non alcoholic patients. serum amylase and lipase levels were compared in alcoholics and non alcoholics. This is a prospective observational study conducted in district head Quarter hospital, Khammam. Total 100 in-patients are included in this study according to inclusion and exclusion criteria. Detailed history of patients were considered along with physical and laboratory examination, ultra sound examination for the conformation of etiological factor of pancreatitis in patients has been made. In our study, out of all, 116 patients have conformed that alcohol is the main etiological factor and remaining 26 of patients were from nonalcoholic history. The patients with alcoholic etiology were 93 patients. Out of 142 patients, 96 patients have acute pancreatitis and remaining 26 patients have chronic pancreatitis. The patients with nonalcoholic etiology were 26 patients. Out of 26 patients, 20 patients have gall stones, 2 patients have hypercalcemia and 2 patients have triglyceredemia. The study concludes that alcohol is the major cause of pancreatitis in patients. Serum amylase and lipase levels are high in alcoholics than the non-alcoholic and the gall stone is the main cause in non-alcoholic patients for pancreatitis.

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“…A recent study has shown that initiating re-feeding with low fat soft diet is safe and can reduce hospitalization, when compared with clear liquid diet. 24 In biliary pancreatitis, a sphincterotomy can relieve the obstruction. In cases of mild gallstone pancreatitis, one small study of 50 patients found early gallbladder removal was safe and associated with shorter hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Clinical Pattern and Management of Acute Pancreatitis Our Experience

Hasan¹,

Laila²,

Mamun

2014

J. Bangladesh Coll. Phys.

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Background: Acute pancreatitis (AP) is an acute inflammatory condition of the pancreas that may extend to local and distant extrapancreatic tissues. It is a lifethreatening disease that has many causes, few effective treatments, numerous serious complications, and an often unpredictable course. The objectives of this study are to develop our knowledge about presentation and diagnosis of acute pancreatitis, to assess the patient with acute pancreatitis accurately and to develop a standard management protocol. Methods: This observational study was carried out in Combined

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Clinical trial: oral feeding with a soft diet compared with clear liquid diet as initial meal in mild acute pancreatitis

Cited by 103 publications

References 11 publications

Meta-analysis of early nutrition: the benefits of enteral feeding compared to a nil per os diet not only in severe, but also in mild and moderate acute pancreatitis

Meta-analysis of early nutrition: the benefits of enteral feeding compared to a nil per os diet not only in severe, but also in mild and moderate acute pancreatitis

Incidence Rate and Etiological Factors of Pancreatitis in Alcoholic and Non-alcoholic Patients

Clinical Pattern and Management of Acute Pancreatitis Our Experience

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Clinical trial: oral feeding with a soft diet compared with clear liquid diet as initial meal in mild acute pancreatitis

Cited by 103 publications

References 11 publications

Meta-analysis of early nutrition: the benefits of enteral feeding compared to a nil per os diet not only in severe, but also in mild and moderate acute pancreatitis

Meta-analysis of early nutrition: the benefits of enteral feeding compared to a nil per os diet not only in severe, but also in mild and moderate acute pancreatitis

Incidence Rate and Etiological Factors of Pancreatitis in Alcoholic and Non-alcoholic Patients

Clinical Pattern and Management of Acute Pancreatitis  Our Experience

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Clinical Pattern and Management of Acute Pancreatitis Our Experience