Nutrition management and pancreatitis in children: New insights

Chinenye R. Dike, Maisam Abu-El-Haija

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Recent findingsEarly initiation of feeds is safe and possible in mild to moderate pediatric acute pancreatitis (AP) and is not associated with increased pain or increased serum lipase level. Enteral nutrition within 48 h of admission compared to no feeds within 48 h (NPO) is associated with a significant reduction in length of stay, reduced progression to severe acute pancreatitis, decreased ICU transfers, and increased weight gain at follow-up. Early standard fat meals did not worsen pain or serum lipase levels in children with mild to moderate AP.Purpose of reviewNutrition is essential in the management of AP in children. Diet before, during, and after an attack of AP can affect outcomes. Here, we highlight recent advances that have been made in the last decade on nutritional interventions in pediatric acute pancreatitis and provide future directions for research.SummaryEarly enteral nutrition is safe and feasible in pediatric mild to moderate AP and is associated with improved outcomes. There are only a handful of studies on nutritional interventions in pediatric mild to moderate AP. Further studies are needed to understand the effects of early enteral nutrition in pediatric severe AP.

Original languageEnglish (US)
Pages (from-to)321-324
Number of pages4
JournalCurrent Opinion in Clinical Nutrition and Metabolic Care
Volume25
Issue number5
DOIs
StatePublished - Sep 1 2022

Keywords

  • nutrition/ diet
  • pancreatitis
  • pediatrics

ASJC Scopus subject areas

  • Medicine(all)

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