Enteral Nutrition in Pancreatitis: 2018 Pediatric Surgery Practice Gap #9

Join us as we continue our review of the top 10 practice gaps of 2018, first presented at last year's update course by APSA's Practice Development Committee. Ray, what's number nine? So, number nine is enteral nutrition in pancreatitis. So, they found early enteral 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 their belly pain to go away, and now we're saying you don't need to, you can start feeds early. Yep. Infected pancreatic phlegmon? Sure. Still feed them. Why not? Wow. I got to go back to surgery school. Well, this single conversation is totally worth coming to this meeting. Wow, that's a big change.