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Early Enteral Nutrition in Paediatric Acute Pancreatitis—A Review of Published Studies

Nowadays, nutrition is said to be an integral aspect of acute pancreatitis (AP) treatment. Early enteral nutrition (EEN) is safe and beneficial for patients. This was confirmed by clinical experience and can be found in guidelines on managing adults with AP. Furthermore, paediatric recommendations e...

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Autores principales: Bukowski, Jan Stanisław, Dembiński, Łukasz, Dziekiewicz, Marcin, Banaszkiewicz, Aleksandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9416066/
https://www.ncbi.nlm.nih.gov/pubmed/36014947
http://dx.doi.org/10.3390/nu14163441
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author Bukowski, Jan Stanisław
Dembiński, Łukasz
Dziekiewicz, Marcin
Banaszkiewicz, Aleksandra
author_facet Bukowski, Jan Stanisław
Dembiński, Łukasz
Dziekiewicz, Marcin
Banaszkiewicz, Aleksandra
author_sort Bukowski, Jan Stanisław
collection PubMed
description Nowadays, nutrition is said to be an integral aspect of acute pancreatitis (AP) treatment. Early enteral nutrition (EEN) is safe and beneficial for patients. This was confirmed by clinical experience and can be found in guidelines on managing adults with AP. Furthermore, paediatric recommendations encourage EEN use in AP. However, paediatric guidelines are based exclusively on studies in adults. Therefore, we present a review of published studies on the time of nutritional interventions in children with AP. A search was independently conducted in April 2022 by two of the authors. Only full-text papers published in English involving children between 0–21 were considered. Only four papers met our inclusion criteria: one randomised-control trial (RCT), one prospective study with retrospective chart review, and two retrospective chart reviews. All studies supported EEN and there was no recommendation of any delay in its initiation. The results of all four papers suggested EEN with a regular, normal-fat diet. EEN is safe in children with mild or moderately severe AP and may decrease the length of hospitalisation. Unfortunately, all the conclusions are based on a small amount of heterogeneous data that are mostly retrospective. Future prospective RCTs are needed.
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spelling pubmed-94160662022-08-27 Early Enteral Nutrition in Paediatric Acute Pancreatitis—A Review of Published Studies Bukowski, Jan Stanisław Dembiński, Łukasz Dziekiewicz, Marcin Banaszkiewicz, Aleksandra Nutrients Review Nowadays, nutrition is said to be an integral aspect of acute pancreatitis (AP) treatment. Early enteral nutrition (EEN) is safe and beneficial for patients. This was confirmed by clinical experience and can be found in guidelines on managing adults with AP. Furthermore, paediatric recommendations encourage EEN use in AP. However, paediatric guidelines are based exclusively on studies in adults. Therefore, we present a review of published studies on the time of nutritional interventions in children with AP. A search was independently conducted in April 2022 by two of the authors. Only full-text papers published in English involving children between 0–21 were considered. Only four papers met our inclusion criteria: one randomised-control trial (RCT), one prospective study with retrospective chart review, and two retrospective chart reviews. All studies supported EEN and there was no recommendation of any delay in its initiation. The results of all four papers suggested EEN with a regular, normal-fat diet. EEN is safe in children with mild or moderately severe AP and may decrease the length of hospitalisation. Unfortunately, all the conclusions are based on a small amount of heterogeneous data that are mostly retrospective. Future prospective RCTs are needed. MDPI 2022-08-22 /pmc/articles/PMC9416066/ /pubmed/36014947 http://dx.doi.org/10.3390/nu14163441 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Bukowski, Jan Stanisław
Dembiński, Łukasz
Dziekiewicz, Marcin
Banaszkiewicz, Aleksandra
Early Enteral Nutrition in Paediatric Acute Pancreatitis—A Review of Published Studies
title Early Enteral Nutrition in Paediatric Acute Pancreatitis—A Review of Published Studies
title_full Early Enteral Nutrition in Paediatric Acute Pancreatitis—A Review of Published Studies
title_fullStr Early Enteral Nutrition in Paediatric Acute Pancreatitis—A Review of Published Studies
title_full_unstemmed Early Enteral Nutrition in Paediatric Acute Pancreatitis—A Review of Published Studies
title_short Early Enteral Nutrition in Paediatric Acute Pancreatitis—A Review of Published Studies
title_sort early enteral nutrition in paediatric acute pancreatitis—a review of published studies
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9416066/
https://www.ncbi.nlm.nih.gov/pubmed/36014947
http://dx.doi.org/10.3390/nu14163441
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