Immediate oral feeding in acute pancreatitis: Systematic review based on current evidence.
Alimentación oral inmediata en pancreatitis aguda: Revisión Sistemática basada en la evidencia actual
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Acute pancreatitis is a pathology whose primary management includes measures to ensure gastrointestinal rest. The present systematic review aims to assess the benefits obtained after initiating an immediate oral diet in patients with acute pancreatitis. A systematic review was carried out, under PRISMA guidelines, which included randomized controlled clinical trials, the search was performed in PubMed, ScienceDirect and Cochrane, using the search terms: "Acute pancreatitis", "Enteral nutrition" "Oral refeed" and "randomized controlled trial", obtaining 393 articles. After applying inclusion and exclusion criteria, a total of 6 studies were included in the review, evaluating: complications or adverse events, severity of the condition, analgesia requirement, hospital stay, tolerance to the diet and expenses generated, finding statistically significant benefits, especially in the last three aspects. It was concluded that immediate oral feeding is safe in patients with acute pancreatitis; nevertheless, it is essential to generate more multicenter studies in order to generate more weighty evidence.
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