Patient-Initiated and ConTrolled Oral Refeeding (PICTOR)

University of Auckland, New Zealand

Status: Completed

Conditions: Acute Pancreatitis

Treatments: Other: Patient-controlled oral refeeding

Study type: Interventional

Funder types: Other

Identifiers

NCT01728896

NTX/12/06/051

Details and patient eligibility

About

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.

Enrollment: 56 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• diagnosis of acute pancreatitis
• age > 18 years
• written informed consent

Exclusion criteria

• ongoing need for opiates
• >96 hours after onset of symptoms
• chronic pancreatitis
• post-ERCP pancreatitis
• intraoperative diagnosis
• pregnancy
• malignancy
• received nutrition before randomisation

Trial design

56 participants in 2 patient groups

Patient-controlled oral refeeding

Experimental group

Description:

Patients will be allowed to drink and eat hospital food freely as tolerated.

Treatment:

Other: Patient-controlled oral refeeding

Conventional management

No Intervention group