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

TL;DR

This study shows that oral feeding is as effective as nasogastric feeding for treating mild to moderately severe pediatric pancreatitis, with fewer complications.

Contribution

The study provides evidence that oral feeding is a safe and effective alternative to nasogastric feeding in pediatric acute pancreatitis.

Findings

Oral feeding and NG feeding showed no significant differences in pain duration, tolerance rate, or weight changes.

Oral feeding resulted in no complications, while four patients in the NG group experienced complications.

Both groups showed slight weight increases at 5 weeks post-discharge.

Abstract

There is increasing awareness of the benefits of early nutritional intervention in children with acute pancreatitis (AP). This study aims to compare oral feeding with NG feeding in mild to moderately severe AP patients.

A single-center, prospective, randomized controlled trial was conducted from September 2021 to August 2024. The participants were randomly assigned to the oral feeding group or the NG feeding group. The primary outcomes were the duration of AP-related pain, tolerance rate, and changes in weight.

A total of 56 pediatric patients were enrolled, of whom 48 patients (24 in each group) were included in the final analysis. There were no significant differences in baseline characteristics or etiological analysis results between the two groups. The median duration of abdominal pain after admission was 3 days in both groups (p = 0.104); no difference was found in the tolerance rate between the 2 cohorts (p = 0.489). There were no significant differences in weight change between the two groups at discharge or at 1 week or 5 weeks after discharge (p = 0.658, 0.502, and 0.927, respectively), and both groups presented slight increases in weight at 5 weeks post-discharge. Four patients in the NG group developed complications, while no complications were observed in the ORAL group (p = 0.109).

Oral feeding is effective for nutritional therapy in children with mild to moderately severe AP, reducing the number of invasive procedures, without significant adverse effects.

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