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Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
ESMER, David et al. Immediate feeding tolerance in patients with mild acute biliary pancreatitis. Cir. cir. [online]. 2021, vol.89, n.2, pp.243-247. Epub 08-Nov-2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.19001724.
Background:
Mild acute pancreatitis is defined as pancreatic edema, without organic failure and without local complications. Its management consists in three basic elements: hydration, analgesia and fasting. Start refeeding when the patient haven´t pain and referring hungry, but exact time for this is not previously documented.
Objective:
To determine the tolerance to immediate oral feeding (8 hours after the start of management) compared to early feeding (48 hours) in patients with mild acute biliary pancreatitis.
Method:
Included all patient with mild acute biliary pancreatitis, and they were randomized in to two groups: A) early oral feeding (n = 30) and B) immediate oral feeding (n = 29). They were evaluated by a third blind observer (not involved in the study) for documented symptoms like nausea, vomiting, reactivation of abdominal pain, systemic inflammatory response syndrome, food tolerance and hospital stay.
Results:
There were no significant differences between both groups in the clinical data or in the biochemical studies. The hospital stay was significantly less in the group B (5.4 vs. 7.8 days; p < 0.003).
Conclusion:
Immediate oral feeding is well tolerated and secure in patients with mild acute biliary pancreatitis.
Palabras llave : Feeding; Abdominal pain; Acute biliary pancreatitis; Systemic inflammatory response syndrome.