The utilization of oral feeding in pediatric pancreatitis: a randomized controlled study

Yan Han1, Hong Zhao1, Linchen Fu1

  • 1Department of Gastroenterology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents' Health and Diseases, Hangzhou, China.

Jornal De Pediatria
|January 31, 2026
PubMed

Insights

Early oral feeding is effective for pediatric acute pancreatitis (AP), showing similar pain duration and weight changes compared to nasogastric (NG) feeding. Oral feeding may reduce complications in children with mild to moderate AP.

Area of Science:

  • Pediatric Gastroenterology
  • Nutritional Therapy
  • Acute Pancreatitis Research

Background:

  • Early nutritional intervention is crucial for children with acute pancreatitis (AP).
  • Comparing oral feeding versus nasogastric (NG) feeding is essential for optimizing AP management in pediatric patients.

Purpose of the Study:

  • To compare the efficacy and safety of oral feeding versus NG feeding in children with mild to moderately severe AP.
  • To evaluate outcomes including pain duration, nutritional tolerance, and weight changes.

Main Methods:

  • A prospective, randomized controlled trial involving 48 pediatric patients with mild to moderate AP.
  • Participants were randomized into oral feeding or NG feeding groups.
  • Primary outcomes assessed were AP-related pain duration, tolerance rate, and weight changes.

Main Results:

  • No significant differences were observed in pain duration (3 days median for both groups) or tolerance rates between oral and NG feeding groups.
  • Weight changes were comparable between groups at discharge and follow-up points (1 and 5 weeks post-discharge).
  • Fewer complications were noted in the oral feeding group (0) compared to the NG group (4), though this difference was not statistically significant (p=0.109).

Conclusions:

  • Oral feeding is a safe and effective nutritional strategy for children with mild to moderate AP.
  • This approach can potentially reduce the need for invasive procedures like NG tube placement.
  • Oral feeding demonstrates comparable efficacy to NG feeding regarding pain and weight, with a trend towards fewer complications.
Abstract

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