A full solid diet as the initial meal in mild acute pancreatitis is safe and result in a shorter length of hospitalization: Results from a prospective, randomized, controlled, double-blind clinical trial

Journal of Clinical Gastroenterology

Volumn 44, Issue 7, 2010, Pages 517-522

  Moraes, José Maria Mendes ^a   Felga, Guilherme Eduardo Gonçalves ^a   Chebli, Liliana Andrade ^a   Franco, Márcio Bousada ^a   Gomes, Carlos Augusto ^a   Gaburri, Pedro Duarte ^a   Zanini, Alexandre ^a   Chebli, Julio Maria Fonseca ^a  

^a University of Juiz de Fora School of Medicine   (Brazil)

Author keywords

acute pancreatitis; nutrition; randomized trial; refeeding

Indexed keywords

ABDOMINAL PAIN; ACUTE PANCREATITIS; ADULT; ARTICLE; CALORIC INTAKE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIET THERAPY; DIETARY INTAKE; DOUBLE BLIND PROCEDURE; FEEDING; FEMALE; HOSPITALIZATION; HUMAN; LIPID DIET; MAJOR CLINICAL STUDY; MALE; MEAL; PATIENT SAFETY; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RELAPSE; ACUTE DISEASE; ADMINISTRATION AND DOSAGE; AGED; COMPARATIVE STUDY; FAT INTAKE; LENGTH OF STAY; MIDDLE AGED; PANCREATITIS; PATHOPHYSIOLOGY; PROSPECTIVE STUDY; RECURRENT DISEASE; SEVERITY OF ILLNESS INDEX; VERY ELDERLY; YOUNG ADULT;

FAT INTAKE;

ABDOMINAL PAIN; ACUTE DISEASE; ADULT; AGED; AGED, 80 AND OVER; DIETARY FATS; DOUBLE-BLIND METHOD; ENERGY INTAKE; HOSPITALIZATION; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; PANCREATITIS; PROSPECTIVE STUDIES; RECURRENCE; SEVERITY OF ILLNESS INDEX; YOUNG ADULT;

EID: 77955167477     PISSN: 01920790     EISSN: None     Source Type: Journal    
DOI: 10.1097/MCG.0b013e3181c986b3     Document Type: Article

References (19)

1. Bradley EL. A clinically based classification system for acute pancreatitis: summary of the Atlanta symposium. Arch Surg. 1993;128:586-590.
2. Banks PA, FreemanML, The Practice Parameters Committee of the American College of Gastroenterology. Practice guidelines in acute pancreatitis. Am J Gastroenterol. 2006;101: 2379-2400.
3. Banks PA. Medical management of acute pancreatitis and complications. In: Go VLW, Di Magno EP, Gardner JD, et al, eds. The Pancreas: Biology, Pathobiology, and Disease. New York: Raven Press; 1993:593-611.
4. Levy P, Heresbach D, Pariente EA, et al. Frequency and risk factors of recurrent pain during refeeding in patients with acute pancreatitis: a multivariate multicentre prospective study of 116 patients. Gut. 1997;40:262-266.
5. Chebli JMF, Gaburri PD, De Souza AFM, et al. Oral refeeding in patients with mild acute pancreatitis: prevalence and risk factors of relapsing abdominal pain. J Gastroenterol Hepatol. 2005;20:1385-1389.
6. Meier R, Beglinger C, Layer P, et al. ESPEN guidelines on nutrition in acute pancreatitis. Clin Nutr. 2002;21:173-183.
7. Pandol SJ, Saluja AK, Imrie CW, et al. Acute pancreatitis: bench to the bedside. Gastroenterology. 2007;132:1127-1151.
8. Reber HA. Food, fat, and the inflamed pancreas. Clin Gastroenterol Hepatol. 2007;5:915-916.
9. Meier RF, Beglinger C. Nutrition in pancreatic diseases. Best Pract Res Clin Gastroenterol. 2006;20:507-529.
10. Jacobson BC, Vander Vliet MB, Hughes MD, et al. A prospective, randomized trial of clear liquids versus low-fat solid diet as the initial meal in mild acute pancreatitis. Clin Gastroenterol Hepatol. 2007;5:946-951.
11. Sathiaraj E, Murthy S, Mansard MJ, et al. Clinical trial: oral feeding with a soft diet compared with clear liquid diet as initial meal in mild acute pancreatitis. Aliment Pharmacol Ther. 2008; 28:777-781.
12. Witteman BJ, Jebbink MC, Hopman WP, et al. Gallbladder responses to modified sham feeding: effects of the composition of a meal. J Hepatol. 1993;19:465-469.
13. Feinle C, O'Donovan D, Doran S, et al. Effects of fat digestion on appetite, APD motility, and gut hormones in response to duodenal fat infusion in humans. Am J Physiol Gastrointest Liver Physiol. 2003;284:G798-G807.
14. Malagelada JR, Go VL, Summerskill WH. Different gastric, pancreatic, and biliary response to solid-liquid or homogenized meals. Dig Dis Sci. 1979;24:101-110.
15. Boivin M, Lanspa SJ, Zinsmeister AR, et al. Are diets associated with different rates of human interdigestive and postprandial pancreatic enzyme secretion? Gastroenterology. 1990;99:1763-1771.
16. Evander A, Hederström E, Hultberg B, et al. Exocrine pancreatic secretion in acute experimental pancreatitis. Digestion. 1982;24:159-167.
17. Niederau C, Niederau M, Lüthen R, et al. Pancreatic exocrine secretion in acute experimental pancreatitis. Gastroenterology. 1990;99:1120-1127.
18. Boreham B, Ammori BJ. A prospective evaluation of pancreatic exocrine function in patients with acute pancreatitis: correlation with the extent of necrosis and pancreatic endocrine insufficiency. Pancreatology. 2003;3:303-308.
19. O'Keefe SJ, Lee RB, Li J, et al. Trypsin secretion and turnover in patients with acute pancreatitis. Am J Physiol Gastrointest Liver Physiol. 2005;289:G181-G187.