Efecto de la restitución temprana de la nutrición oral en la pancreatitis aguda leve

Abstract

Although the nutritional management of patients with severe acute pancreatitis has been well established by the available evidence, little attention has been paid to optimizing the dietary management of mild acute pancreatitis. The aim of this study is to evaluate the effect of early initiation of oral nutrition in these patients. 8 Methods: A descriptive comparative case series in which we compare the progress and outcome of management of patients with acute pancreatitis before and after initiating a protocol of early oral nutrition. Results: The series included 13 patients managed with conventional restitution of nutrition by mouth and 9 patients with early restitution of nutrition by mouth oral nutrition. There were no statistically significant differences in etiology, clinical characteristics, and demographic differences between the groups. There were no cases of progression to severe disease in either group. The occurrence of gastrointestinal symptoms like vomiting and pain after the start of the diet was similar in both groups. Conclusions: The restoration of oral nutrition based in preset criteria (pain intensity of less than 4 and a period longer than 6 hours after the last episode emetic) is safe and reduces the initial fasting period but not the hospital stay.