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The first step in treating patients with acute pancreatitis is to provide pain relief and intravenous fluids to keep them comfortable. As the pain subsides and patient starts to feel better food and fluids by mouth are restarted. This is done to rest the pancreas which is the organ that has been inflamed.
In some patients when food by mouth restarts they have pain and as a consequence they have a longer stay in hospital. It is thought that patients who have little pain and are within 24 hours of admission to hospital do well if they control their own food intake. This is in contrast to the usual treatment where the treating team advise when eating should restart.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient-controlled oral refeeding | Experimental | Patients will be allowed to drink and eat hospital food freely as tolerated. |
|
| Conventional management | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patient-controlled oral refeeding | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Oral food intolerance | Participants will be followed for the duration of hospital stay, an expected average of 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Time from admission until tolerance of oral food | Participants will be followed for the duration of hospital stay, an expected average of 7 days | |
| Total length of hospital stay | Participants will be followed for the duration of hospital stay, an expected average of 7 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Auckland; Auckland City Hospital | Auckland | New Zealand |
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| ID | Term |
|---|---|
| D010195 | Pancreatitis |
| ID | Term |
|---|---|
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
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| Need for opiates | Need for opiates is defined when one (or more) of the following has been administered:
| Participants will be followed for the duration of hospital stay, an expected average of 7 days |
| Change in pain intensity | Baseline and 24, 48, 72h after randomisation |
| Progression of acute pancreatitis severity | To be defined according to the 2012 determinant-based classification of acute pancreatitis severity | Participants will be followed for the duration of hospital stay, an expected average of 7 days |
| Hospital readmission | 2 weeks after hospital discharge |
| Local and systemic complications | To be defined according to the 2012 determinant-based classification of acute pancreatitis severity | Participants will be followed for the duration of hospital stay, an expected average of 7 days |
| Number and type of interventions during hospital stay | Participants will be followed for the duration of hospital stay, an expected average of 7 days |
| Time from admission until first flatus | Participants will be followed for the duration of hospital stay, an expected average of 7 days |
| Change in blood glucose | Baseline and 24, 48, 72h after randomisation |
| Change in plasma C-reactive protein | Baseline and 24, 48, 72h after randomisation |