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A meta-analysis of early oral refeeding and quickly increased diet for patients with mild acute pancreatitis.
- Source :
- Saudi Journal of Gastroenterology; Jan/Feb2019, Vol. 25 Issue 1, p14-19, 6p
- Publication Year :
- 2019
-
Abstract
- Background/Aim: The objective of the study is to clarify whether early oral refeeding (EORF) and quickly increasing diet (QID) are of benefit to patients with mild acute pancreatitis compared with a traditional oral refeeding strategy. Materials and Methods: Studies were searched in PubMed, Cochrane library, ScienceDirect, SpringerLink, China Biology Medicine disc and Embase. A meta-analysis was then performed, using relapse of abdominal pain, nausea/vomiting, and length of hospital stay (LOHS) as the evaluation indices. Results: Eight trials met the inclusion criteria. For the oral refeeding time group, EORF could significantly decrease the LOHS (mean deviation [MD] -1.97; 95% confidence interval (CI) -3.32 to -0.62; P = 0.004), and there was no significant difference for relapse of abdominal pain (relative risk [RR] 1.17; 95% CI 0.69-2.00; P = 0.56) or nausea/vomiting (RR 1.30; 95% CI 0.19-8.82; P = 0.79) when compared with conventional oral refeeding. For the oral refeeding material group, there was no significant difference for relapse of abdominal pain (RR 0.86; 95% CI 0.53-1.40; P = 0.54), nausea/vomiting (risk difference -0.01; 95% CI -0.19-0.18; P = 0.94), or LOHS (MD -0.88; 95% CI -2.24-0.48; P = 0.20) between the QID and stepwise increasing diet groups. Conclusion: Pure EORF or QID caused no damage to patients with mild acute pancreatitis, and EORF could significantly decrease the LOHS. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIAGNOSIS of abdominal pain
PANCREATITIS treatment
ARTIFICIAL feeding
CONFIDENCE intervals
DIET
LENGTH of stay in hospitals
MEDICAL databases
INFORMATION storage & retrieval systems
MEDICAL information storage & retrieval systems
MEDLINE
META-analysis
ONLINE information services
SYSTEMATIC reviews
DISEASE relapse
RELATIVE medical risk
TREATMENT effectiveness
SEVERITY of illness index
Subjects
Details
- Language :
- English
- ISSN :
- 13193767
- Volume :
- 25
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Saudi Journal of Gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 144390417
- Full Text :
- https://doi.org/10.4103/sjg.SJG_240_18