Drs Todd Ponsky, Alex Casar, Alex Gibbons and Rae Hanke review Practice Gap #9 from 2018, as identified by APSA's Professional Development Committee.
Type: video · 1 min · posted 2019-06-21 Canonical: https://library.globalcastmd.com/watch/enteral-nutrition-in-pancreatitis-2018-pediatric-surgery-practice-gap-9-1451 ## Chapters - [0:04](https://library.globalcastmd.com/watch/enteral-nutrition-in-pancreatitis-2018-pediatric-surgery-practice-gap-9-1451?t=4) Practice Gap #9: Enteral Nutrition in Pancreatitis ## Statements - "Early enteral feedings when not associated with vomiting decrease morbidity, infectious risk, and mortality in pancreatitis" — Ray (clinical) [0:17](https://library.globalcastmd.com/watch/enteral-nutrition-in-pancreatitis-2018-pediatric-surgery-practice-gap-9-1451?t=17) - "Nasogastric feeds are equally as tolerated as nasojejunal feeds in pancreatitis" — Ray (clinical) [0:26](https://library.globalcastmd.com/watch/enteral-nutrition-in-pancreatitis-2018-pediatric-surgery-practice-gap-9-1451?t=26) - "Earlier surgical intervention is recommended for gallstone pancreatitis" — Ray (guideline) [0:26](https://library.globalcastmd.com/watch/enteral-nutrition-in-pancreatitis-2018-pediatric-surgery-practice-gap-9-1451?t=26) - "Traditional teaching was to wait many days for amylase and lipase to normalize and for abdominal pain to resolve before starting feeds in pancreatitis" (opinion) [0:35](https://library.globalcastmd.com/watch/enteral-nutrition-in-pancreatitis-2018-pediatric-surgery-practice-gap-9-1451?t=35) - "Enteral feeding can be provided even in the presence of infected pancreatic phlegmon" (clinical) [0:49](https://library.globalcastmd.com/watch/enteral-nutrition-in-pancreatitis-2018-pediatric-surgery-practice-gap-9-1451?t=49) ## Transcript Join us as we continue our review of the top 10 practice gaps of 2018, 1st presented at last year's update course by APSA's Practice Development Committee. Ray, what's number nine? So, number nine is enteral nutrition and pancreatitis. So they found early. Feedings when it's not associated with vomiting, decreases morbidity, infectious risk, and mortality. And they also found NG feeds are equally as tolerated as NJ feeds, and we should be operating earlier for gallstone pancreatitis. This is a big change, Ray, because I was always taught, you know, you wait for many, many days, you wait for the amylase and lipase to, to get normal, you wait for all of their belly pain to go away, and now we're saying you don't need to, you can start feeds early. Yep. Infected pancreatic phlegm, still feed them. Wow. I got to go back to surgery school. This single conversation is totally worth coming to this meeting. Wow, that's a big change. --- Not medical advice · citation policy: https://library.globalcastmd.com/ai