Article Text

Download PDFPDF
When should we start oral intake in children with severe acute pancreatitis?
  1. Nilton Y Carreazo P1,2,
  2. Karim Ugarte R1,
  3. Carlos Bada M1,2
  1. 1
    Critical Appraisal Skills Programme Perú. Servicio de Pediatría - Hospital de Emergencias Pediátricas
  2. 2
    Unidad de Post Grado. Facultad de Medicina Humana Universidad de San Martín de Porres, Lima, Perú

    Statistics from

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Last year 2 children recovering from acute severe pancreatitis were transferred from the intensive care unit (ICU) to our care in the paediatric ward.

    Patient 1 was a 9-year old girl diagnosed with acute severe pancreatitis (Imrie score  =  5, computed tomography [CT] abdomen staging  =  Balthazar E which included pancreatic necrosis).1-2 She received antibiotics (ceftriaxone, metronidazole), analgesics (pethidine, fentanyl), anti-acid therapy (ranitidine), and nasojejunal feeding. She had been in hospital for 25 days (16 in ICU), and had received nasojejunal tube feeding for 20 days.

    Patient 2 was a 9-year old boy again with acute severe pancreatitis (Imrie score  =  4, CT abdomen staging  =  Balthazar E). In the Emergencias Pediátricas Hospital he was admitted to the ICU, where he received antibiotic therapy (ciprofloxacin, metronidazole), analgesics (pethidine), anti-acid therapy (ranitidine), and nasojejunal feeding. He had been in hospital for 9 days (7 days in ICU) and had been feeding by nasojejunal tube for 4 days. He asked during the ward round “When are you giving me something to eat?”

    The ICU discharge plan for both patients was to complete 6 weeks of nasojejunal tube feeding (4 wks minimum), and the commencement of …

    View Full Text