Acute Pancreatitis Due to Gallstones
Conditions
Keywords
pancreatitis, mild, biliary, referring
Brief summary
Objective: Determine tolerance of immediate oral intake (8 hours posterior to the beginning of treatment) against traditional management (early feeding at 48hr) in patients with mild acute pancreatitis of biliary origin. Double blind, randomized clinical trial
Detailed description
The investigators included patients 15 - 85 years old, any sex. Diagnosis of mild acute pancreatitis according to the Ranson, APACHE II and BISAP. Signed infromed consent to participate in the study. All participants had a hepatic and biliary ultrasound to determine the biliary etiology. The investigators excluded patients with pancreatitis of nonbiliary etiology, pregnant, severe pancreatitis, cholangitis or choledocholithiasis demonstrated during the hospital stay or with other comorbidities.
Interventions
Liquid ( Re Feeding 8 h ) OR Enteral Feeding ( re feeding 48 h)
Sponsors
Study design
Masking description
blinding of the evaluator to the study group blinding of patient to study hypothesis
Eligibility
Inclusion criteria
Patients older than 15 years. * Patients with a diagnosis of mild acute pancreatitis biliary. * Patients who agree to enter the protocol.
Exclusion criteria
* Patients managed at another institution. * Patients with a diagnosis of pancreatitis of non-biliary etiology. * Patients with heart disease or lung disease. * Patients with organic failure. * Patients with pregnancy. * Patients with cholangitis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pancreatitis reactivation after oral Feeding | Measures at 24hours after the begining of the oral intake | Resurgence of characteristically epigastric tansfictive pain, irradiated to the left, upper quadrant region after beginning the oral intake, systemic inflammatory response syndrome ( C reactive protein) or Significant leucocyte elevation |