Читать книгу Clinical Pancreatology for Practising Gastroenterologists and Surgeons - Группа авторов - Страница 147

The most recent and robust evidence supports early oral refeeding in mild AP. It is recommended that patients with AP should initially be kept nil by mouth after admission, while initial fluid resuscitation and intravenous analgesia is being administered. Once intestinal peristalsis recovers, as demonstrated by the presence of bowel sounds, initiation of refeeding is safe and generally well tolerated. A stepwise increase of caloric and fat content is usually not needed, but it should be considered in some patients, mainly in those with moderate or severe AP.