Early versus On-Demand Nasoenteric Tube Feeding in Acute Pancreatitis

2018 ◽  
pp. 204-208
Author(s):  
Peter J. Fagenholz
Keyword(s):  
Acute Pancreatitis ◽  
Tube Feeding ◽  
Oral Intake ◽  
Adequate Nutrition ◽  
On Demand ◽  
Major Complications ◽  
Nasojejunal Tube ◽  
Poor Oral Intake ◽  
Oral Diet

This study evaluated whether starting nasojejunal tube feeding within 24 hours of presentation would reduce the rate of death or major complications in patients with acute pancreatitis. This strategy was compared to allowing patients to take an “on demand” oral diet and only initiating nasojejunal tube feeding if there was poor oral intake by 96 hours after presentation. There was no difference between the two groups in any of the measured outcomes, though the study may have been underpowered. We conclude it is acceptable to allow an on-demand oral diet and reserve nasoenteric feeding for patients who have not achieved adequate nutrition by 96 hours after presentation. It is not necessary or beneficial to start nasojejunal tube feeds in the first 24 hours.

scholarly journals Early versus On-Demand Nasoenteric Tube Feeding in Acute Pancreatitis

2014 ◽  
Vol 371 (21) ◽  
pp. 1983-1993 ◽  
Author(s):  
Olaf J. Bakker ◽  
Sandra van Brunschot ◽  
Hjalmar C. van Santvoort ◽  
Marc G. Besselink ◽  
Thomas L. Bollen ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Tube Feeding ◽  
On Demand

Early nasojejunal tube feeding versus nil-by-mouth in acute pancreatitis: A randomized clinical trial

Pancreatology ◽  
2016 ◽  
Vol 16 (4) ◽  
pp. 523-528 ◽  
Author(s):  
D. Stimac ◽  
G. Poropat ◽  
G. Hauser ◽  
V. Licul ◽  
N. Franjic ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Acute Pancreatitis ◽  
Randomized Clinical Trial ◽  
Tube Feeding ◽  
Nasojejunal Tube

scholarly journals Nasogastric versus nasojejunal tube feeding for severe acute pancreatitis

2020 ◽  
Author(s):  
Amit Kumar Dutta ◽  
Ashish Goel ◽  
Richard Kirubakaran ◽  
Ashok Chacko ◽  
Prathap Tharyan
Keyword(s):  
Acute Pancreatitis ◽  
Severe Acute Pancreatitis ◽  
Tube Feeding ◽  
Nasojejunal Tube

scholarly journals Nutrition and Antibiotics for Acute Pancreatitis

2021 ◽  
Vol 26 (3) ◽  
pp. 176-180
Author(s):  
Hoonsub So ◽  
Hye Kyung Lee ◽  
Tae Jun Song
Keyword(s):  
Acute Pancreatitis ◽  
Severe Acute Pancreatitis ◽  
Enteral Feeding ◽  
Broad Spectrum ◽  
Nutritional Support ◽  
Tube Feeding ◽  
Prophylactic Antibiotics ◽  
Nasojejunal Tube ◽  
Solid Diet ◽  
Systemic Infections

Acute pancreatitis is a sudden inflammatory disease that could be developed into a fatal condition. Traditional dogma was to rest the pancreas by fasting. However, evidence shows the benefits of early enteral feeding resulting in a shorter hospital stay, improved mortality, multi-organ failure, systemic infections, and the need for operative interventions. Clinicians should encourage enteral feeding as soon as possible even in severe acute pancreatitis if there are no contraindications. An immediate solid diet could be attempted. Regarding tube feeding, the nasojejunal tube did not show superiority to the nasogastric tube. Different formulas and probiotics need more investigation. Guidelines are against using prophylactic antibiotics, but Korean centers still report overuse of antibiotics. However, there is still a debate about using prophylactic antibiotics in severe acute pancreatitis. Broad-spectrum antibiotics should be initiated when an infection is suspected. In conclusion, enteral nutritional support and optimal use of antibiotics are the keys to the management of acute pancreatitis.

COVID-19 pandemic exacerbates eating disorder by social and intrafamilial isolations: importance of familial relationships (Preprint)

2021 ◽  
Author(s):  
Yoshiki Katsumi ◽  
Kazuki Kodo ◽  
Sachiko Goto
Keyword(s):  
Eating Disorder ◽  
Nasogastric Tube ◽  
Tube Feeding ◽  
Oral Intake ◽  
Family Meeting ◽  
Case Presentation ◽  
Familial Relationships ◽  
Poor Oral Intake ◽  
Nasogastric Tube Feeding ◽  
Great Stress

UNSTRUCTURED Background: Coronavirus disease-2019 (COVID-19) pandemic makes children and their parents psychologically stressed. We present a patient with an eating disorder (ED) that rapidly worsened due to stresses and isolations and that was improved by family meeting to reconstitute their relationships, during the pandemic. Case presentation: A father found that his 9-year daughter rapidly lost her weight because of poor oral intake. Her weight had already stopped gaining before the pandemic and rapidly decreased to 22 kg during the pandemic. We diagnosed her as having an ED and administrated nasogastric tube feeding. We guessed that not only social isolations but a disruption of relationship between her and her parents, both of which occurred by the pandemic, also caused her ED. In a family meeting, she revealed that she felt anxious more during the pandemic. After the meeting, her parents rescheduled their works and have dinners together every night. She could eat sufficiently and weigh 31.8 kg. Conclusions: ED children, whose symptoms worsened during the pandemic, are increased during the pandemic since they feel loneliness by social and intrafamilial isolations. Furthermore, the parents are also stressed during the pandemic. Children including those with ED experienced stress directly from the advent of the COVID-19 pandemic and indirectly from their parents. Pediatricians should be concerned that children might experience great stress during and after the pandemic.

scholarly journals Impact of coronavirus disease 2019 in a child who underwent ventricular septal defect device closure: a case report

2020 ◽  
Author(s):  
Saud A Bahaidarah ◽  
Ahmed M Dohain ◽  
Gaser Abdelmohsen ◽  
Abeer A Alnajjar ◽  
Jameel Al-Ata
Keyword(s):  
Respiratory Failure ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Systolic Dysfunction ◽  
Oral Intake ◽  
Serum Levels ◽  
Multiple Risk Factors ◽  
Late Closure ◽  
Lung Condition ◽  
Poor Oral Intake

Abstract Background Studies about the incidence and severity of coronavirus disease 2019 (COVID-19) in children are still significantly lower than those in adults. Moreover, data on the effect of COVID-19 in children with congenital heart disease (CHD) are limited. To the best of our knowledge, this study first reported mortality in a child with CHD who acquired COVID-19. Case summary A 16-month-old boy presented to the emergency department due to shortness of breath, fever, cough, and poor oral intake. He tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). He required mechanical ventilation for rapidly progressing respiratory failure. The patient had a large mid-muscular ventricular septal defect (VSD) that was closed percutaneously at the age of 13 months. Moreover, we followed his hospital sequelae from admission to death. Discussion This child had multiple risk factors, including malnutrition and persistent pulmonary hypertension (PH) after late closure of the VSD. The pre-existing PH could have been aggravated by the lung condition associated with COVID-19 and the respiratory failure triggered by SARS-CoV-2 infection. The patient presented with ventricular systolic dysfunction, elevated troponin serum levels and newly developed trifascicular block, which were indicative of myocardial injury. The elevated inflammatory markers and multi-organ dysfunction seem to corroborate multisystem inflammatory syndrome in children, which was described recently among paediatric patients with COVID-19.

scholarly journals Dysphagia in Perry Syndrome: Pharyngeal Pressure in Two Cases

2017 ◽  
Vol 9 (2) ◽  
pp. 161-167 ◽  
Author(s):  
George Umemoto ◽  
Yoshio Tsuboi ◽  
Hirokazu Furuya ◽  
Takayasu Mishima ◽  
Shinsuke Fujioka ◽  
...  
Keyword(s):  
Tube Feeding ◽  
Oral Intake ◽  
Normal Diet ◽  
Oral Feeding ◽  
Tongue Pressure ◽  
Normal Range ◽  
Swallowing Function ◽  
Pharyngeal Pressure ◽  
Swallowing Dysfunction ◽  
The Impact

Background: To investigate the impact of dysphagia in Perry syndrome (PS), an autosomal dominant parkinsonism caused by mutation of DCTN1, which is associated with hypoventilation, depression, and weight loss. Case Presentation: We used tongue pressure measurements and manofluorography to investigate swallowing function in 2 patients with PS. Case 1, a 60-year-old male showing parkinsonism, and case 2, a 49-year-old male admitted with pneumonia, were diagnosed as having PS based on the DCTN1 gene analysis. Case 1 showed a pharyngeal retention of the bolus on videofluorography (VF) and a few swallows were required for its passage into the esophagus. However, tongue pressure and manometry were within the normal range. This patient could eat a normal diet under supervision. Case 2 required artificial ventilation and tube feeding on admission. The VF image showed a slow transfer of the bolus, delayed swallow reflex, and pharyngeal retention of the bolus that required several swallows for its passage into the esophagus. The tongue pressure was within the normal range, but manometry showed a significant decrease in pressure at the hypopharynx and upper esophageal sphincter. The oral intake of the patients was limited to 2 cups of jelly per day. Conclusions: The investigation of swallowing dysfunction of 2 cases of PS showed that maintaining pharyngeal pressure within the normal range was very important for oral feeding success and prognosis.

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