Three initial diets for management of mild acute pancreatitis: A meta-analysis

Meng, Wenbo; Li, Xun; Li, Yumin; Zhou, Wenjing; Zhu, Xiaozhong

doi:10.3748/wjg.v17.i37.4235

Cited by 20 publications

(18 citation statements)

References 27 publications

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“…Moreover, the use of this diet for long‐term nutrition is significantly hampered, as patients can become deficient in other nutrients such as essential fatty acids. Although a liquid diet has previously been advocated in the setting of a flare of acute pancreatitis, a meta‐analysis showed no difference in pain score compared with a solid diet, with the negative addition of fewer calories consumed …”

Section: Management Of Nutritionmentioning

confidence: 98%

Chronic Pancreatitis and Nutrition Therapy

O’Brien

Omer

2019

Nut in Clin Prac

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Chronic pancreatitis is a complex and irreversible disease of the pancreas and is associated with significant morbidity and mortality. Nutrition deficiencies in chronic pancreatitis are common and can be atypical in nature. As such, the management of these deficiencies can be individualized for patients. The aim of this review is to discuss the components of nutrition deficiencies in chronic pancreatitis, their management, and the current areas of research that are being explored. The clinical guidelines of major national and international societies were analyzed for recommendations on the nutrition management of chronic pancreatitis. The etiology of nutrition deficiencies in chronic pancreatitis is multifactorial and includes aspects of exocrine and/or endocrine dysfunction, significant abdominal pain, often persistent alcohol consumption, and increased metabolic activity. A large number of patients with nutrition deficiencies are underrecognized and undertreated. Although the majority of these patients can be managed by oral and pancreatic enzyme supplementation, some patients may require enteral tube feeding and, in rare cases, parenteral feeding. Current areas of research include the accurate identification of patients at risk for nutrition deficiencies, optimization of feeding regimens, and research into islet cell autotransplantation. (Nutr Clin Pract. 2019;34(suppl 1):S13-S26)

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Section: Management Of Nutritionmentioning

confidence: 98%

Chronic Pancreatitis and Nutrition Therapy

O’Brien

Omer

2019

Nut in Clin Prac

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“…20 These studies have only detected a shorter duration of hospital stay among patients treated with complete or immediate refeeding. 16,17,19,20 Accordingly, we decided to analyze the frequency of intolerance to refeeding in mild AP, treatment performed, and the variables related to intolerance in a consecutive series of patients.…”

mentioning

confidence: 99%

Factors Associated With Intolerance After Refeeding in Mild Acute Pancreatitis

Francisco¹,

Valentín²,

Cubiella³

et al. 2012

Pancreas

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“…A meta-analysis of three RCTs with 326 patients with mild acute pancreatitis showed that a solid diet reduced the length of hospital stay, compared to a liquid diet, but did not affect the rates of recurrent pain after refeeding [90]. Decreased length of hospital stay has also been shown in the most recent RCTs with a solid as opposed to a liquid diet in mild acute pancreatitis [91,92].…”

Section: Nutritionmentioning

confidence: 90%

Treating acute pancreatitis: what’s new?

Singh

Moran

Afghani

et al. 2015

Expert Review of Gastroenterology & Hepatology

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The medical treatment of acute pancreatitis continues to focus on supportive care, including fluid therapy, nutrition, and antibiotics, all of which will be critically reviewed. Pharmacologic agents that were previously studied were found to be ineffective likely due to a combination of their targets and flaws in trial design. Potential future pharmacologic agents, particularly those that target intracellular calcium signaling, as well as considerations for trial design will be discussed. As the incidence of acute pancreatitis continues to increase, greater efforts will be needed to prevent hospitalization, readmission and excessive imaging in order to reduce overall healthcare costs. Primary prevention continues to focus on post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis and secondary prevention on cholecystectomy for biliary pancreatitis as well as alcohol and smoking abstinence.

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Three initial diets for management of mild acute pancreatitis: A meta-analysis

Abstract: The non-liquid soft or solid diet did not increase pain recurrence after re-feeding, compared with the clear-liquid diet. The non-liquid diet reduced hospitalization.

Cited by 20 publications

References 27 publications

Chronic Pancreatitis and Nutrition Therapy

Chronic Pancreatitis and Nutrition Therapy

Factors Associated With Intolerance After Refeeding in Mild Acute Pancreatitis

Treating acute pancreatitis: what’s new?

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