GASTROENTEROLOGY ARTICLE OF THE WEEK
January 17, 2008
Petrov MS, van Satvoort HC, Besselink MG, et al. Oral refeeding after onset of actue pancreatitis: A review of the literature. Am J Gastroenterol 2007;102:2079-2084.
1. arly refeeding in acute pancreatitis
a. Results in relapse of pain in about 20% of cases
b. Patients at risk of relapse can be predicted based on radiologic parameters
c. Pain relapse after refeeding often prolongs hospitalization
d. There is no clear difference between tube or oral refeeding
True or False
2. The practice of waiting until pain is resolved prior to initiating any type of oral nutrition may result in prolonged hospitalization
3. There are numerous randomized clinical trials studying the timing and mode of enteral nutrition in acute pancreatitis
4. The use of a long-acting octreotide preparation to “put the pancreas at rest” is not effective in preventing re-feeding pain relapse
5. Oral feeding is probably superior to parenteral nutrition in expediting recovery
6. Initiating tube enteral feedings soon after admission, even in the presence of pain increases the likelihood that oral feeding will be tolerated earlier once pain is controlled