Pancreas
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Randomized Controlled Trial
Early oral refeeding wisdom in patients with mild acute pancreatitis.
To evaluate the safety and efficacy of early oral refeeding (EORF) in patients with mild acute pancreatitis (AP) and to investigate the optimal duration to commence EORF. ⋯ In patients with mild AP, EORF, with the subjective feeling of hunger, is safe, feasible, and reduces LOH.
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Abdominal pain in chronic pancreatitis (CP) may be visceral or nonvisceral in origin. Differential nerve block (DNB) distinguishes visceral from nonvisceral pain. Endoscopic ultrasound and other imaging tests (eg, computed tomography and magnetic resonance cholangiopancreatography) are used to diagnose and stage CP. However, it is not known whether structural changes predict the presence of visceral pain, which may better respond to endoscopic, surgical, or visceral nerve interventions. We investigated the correlation of pancreatic structural abnormalities evident on imaging tests with the presence of visceral pain on DNB. ⋯ The severity of structural changes of CP found on imaging tests does not predict the presence of visceral pain.