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Early Enteral Nutrition in Children With Acute Pancreatitis

Maisam Abu-El-Haija1, Rebecca Wilhelm, Christie Heinzman

  • 1*Division of Gastroenterology, Hepatology and Nutrition †Nutrition Department, Cincinnati Children's Hospital and Medical Center, Cincinnati, OH ‡Nutrition school, Federal University of Bahia, Bahia, Brazil §Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital and Medical Center, Cincinnati, OH.

Journal of Pediatric Gastroenterology and Nutrition
|October 22, 2015
PubMed

Insights

Early nutrition, including higher fat intake, is feasible and beneficial for pediatric acute pancreatitis (AP) patients. This approach can reduce pain severity without increasing length of stay.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Nutrition
  • Pancreatology

Background:

  • Nutrition is crucial for managing acute pancreatitis (AP).
  • Pediatric AP nutrition is understudied.
  • Current feeding guidelines for pediatric AP require further investigation.

Purpose of the Study:

  • To assess the impact of nutrition and fat content on pediatric AP outcomes.
  • To evaluate the feasibility of early feeding in pediatric AP.
  • To determine the relationship between fat intake and pain severity in pediatric AP.

Main Methods:

  • Retrospective review of a pediatric nutrition database (May 1, 2014 - December 1, 2014).
  • Comparison of pain scores and length of stay between fed and nil per os (NPO) groups.
  • Analysis of the correlation between fat intake (grams per kilogram per day) and pain scores.

Main Results:

  • Pain levels were comparable between patients who were fed early and those kept NPO.
  • Higher daily fat intake was significantly associated with lower pain scores.
  • Early enteral feeding was demonstrated as feasible in pediatric AP patients.

Conclusions:

  • Early nutrition is safe and feasible for pediatric AP management.
  • Increased fat intake in pediatric AP diets correlates with reduced pain.
  • Optimizing nutritional strategies, particularly fat content, may improve pain management in pediatric AP.

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