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Classification and Nutrition Management of Acute Pancreatitis in the Pediatric Intensive Care Unit

Cole, Sarah*; Wakeham, Martin; Werlin, Steven*; Goday, Praveen S.*

Journal of Pediatric Gastroenterology and Nutrition: December 2018 - Volume 67 - Issue 6 - p 755–759
doi: 10.1097/MPG.0000000000002147
Short Communication: Pancreatology

ABSTRACT The aims of this retrospective cohort study were to classify the severity of patients admitted to the pediatric intensive care unit (PICU) with acute pancreatitis (AP) and to identify how many patients received appropriate nutritional management in accordance with more recent guidelines and the outcomes of those patients. Of the 54 children with AP, 12 (22.2%) had a primary diagnosis of AP (50% severe, 17% moderate) whereas 42 (77.8%) had a secondary diagnosis of AP (81% severe, 11.9% moderate). Just under half of the patients (48.1%) had enteral nutrition commenced before the third day of admission (50% with primary AP, 47.6% with secondary AP). The average time to initiation of enteral feeds was 2.3 days for those that received enteral nutrition. 51.8% of patients received parenteral nutrition (25% with primary AP, 59.5% with secondary AP). Most patients received enteral nutrition late and parenteral nutrition was overused in patients with AP admitted to the PICU.

*Pediatric Gastroenterology and Nutrition

Division of Critical Care, Medical College of Wisconsin, Milwaukee, WI.

Address correspondence and reprint requests to Praveen S. Goday, MBBS, CNSC, Professor of Pediatrics, Pediatric Gastroenterology and Nutrition, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226 (e-mail: pgoday@mcw.edu).

Received 29 May, 2018

Accepted 20 August, 2018

P.S.G. is a consultant for Nutricia and Member of Data and Safety Monitoring Board, Shire Pharmaceuticals. The remaining authors report no conflicts of interest.

© 2018 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,