Abstract
[{"label":"ANTECEDENTES","text":"La pancreatitis aguda leve es una inflamaci\u00f3n local del p\u00e1ncreas sin complicaciones locales ni falla org\u00e1nica. Su manejo consiste en tres elementos b\u00e1sicos: hidrataci\u00f3n, analgesia y ayuno. La realimentaci\u00f3n se inicia cuando el paciente no tiene dolor y refiere apetito, pero el momento exacto para iniciarla no est\u00e1 previamente documentado."},{"label":"OBJETIVO","text":"Determinar la tolerancia a la alimentaci\u00f3n oral inmediata (8 horas posterior al inicio del manejo) en comparaci\u00f3n con la alimentaci\u00f3n temprana (48 horas) en los pacientes con pancreatitis aguda biliar leve."},{"label":"M\u00c9TODO","text":"Se incluyeron pacientes con pancreatitis aguda biliar leve y se aleatorizaron en dos grupos: A) alimentaci\u00f3n temprana a las 48 horas (30 pacientes) y B) alimentaci\u00f3n inmediata a las 8 horas de inicio del manejo (29 pacientes). Fueron evaluados por un tercer observador ciego (no involucrado en el estudio) para documentar s\u00edntomas como n\u00e1usea, v\u00f3mito, reactivaci\u00f3n del dolor abdominal, s\u00edndrome de respuesta inflamatoria sist\u00e9mica, tolerancia alimentaria y estancia hospitalaria."},{"label":"RESULTADOS","text":"No se encontraron diferencias significativas entre los grupos en cuanto a datos cl\u00ednicos y bioqu\u00edmicos. La estancia hospitalaria disminuy\u00f3 significativamente en el grupo B (5.4 vs. 7.8 d\u00edas; p < 0.003)."},{"label":"CONCLUSI\u00d3N","text":"La alimentaci\u00f3n inmediata en las primeras 8 horas del manejo de los pacientes con pancreatitis aguda biliar leve es bien tolerada y segura, y reduce la estancia hospitalaria."},{"label":"BACKGROUND","text":"Mild acute pancreatitis is defined as pancreatic edema, without organic failure and without local complications. Its management consists in three basic elements: hydration, analgesia and fasting. Start refeeding when the patient haven\u00b4t pain and referring hungry, but exact time for this is not previously documented."},{"label":"OBJECTIVE","text":"To determine the tolerance to immediate oral feeding (8 hours after the start of management) compared to early feeding (48 hours) in patients with mild acute biliary pancreatitis."},{"label":"METHOD","text":"Included all patient with mild acute biliary pancreatitis, and they were randomized in to two groups: A) early oral feeding (n = 30) and B) immediate oral feeding (n = 29). They were evaluated by a third blind observer (not involved in the study) for documented symptoms like nausea, vomiting, reactivation of abdominal pain, systemic inflammatory response syndrome, food tolerance and hospital stay."},{"label":"RESULTS","text":"There were no significant differences between both groups in the clinical data or in the biochemical studies. The hospital stay was significantly less in the group B (5.4 vs. 7.8 days; p < 0.003)."},{"label":"CONCLUSION","text":"Immediate oral feeding is well tolerated and secure in patients with mild acute biliary pancreatitis."},{"copyright":"Copyright: \u00a9 2021 Permanyer."}]
