2017 journal article
Retrospective evaluation of the impact of early enteral nutrition on clinical outcomes in dogs with pancreatitis: 34 cases (2010-2013)
JOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE, 27(4), 425–433.
author keywords: canine; gastrointestinal intolerance; nutritional support
MeSH headings : Animal Nutritional Physiological Phenomena; Animals; Dog Diseases / therapy; Dogs; Enteral Nutrition / veterinary; Hospitalization; Humans; Nutritional Requirements; Nutritional Status; Pancreatitis / therapy; Pancreatitis / veterinary; Retrospective Studies; Treatment Outcome
TL;DR:
It is suggested that feeding within 48 hours of hospitalization for canine pancreatitis has a positive impact on return to voluntary intake and decreases the frequency of GI in these patients, independent of CSIS.
(via Semantic Scholar)
UN Sustainable Development Goal Categories
3. Good Health and Well-being
(Web of Science)
Source: Web Of Science
Added: August 6, 2018
AbstractObjectiveTo evaluate the effect of early enteral nutritional therapy on time to return to voluntary intake, maximum food consumption, incidence of gastrointestinal intolerance (GI), and total hospitalization time for dogs with acute pancreatitis.Design and SettingRetrospective analysis of dogs with pancreatitis at a veterinary teaching hospital between 2010 and 2013.AnimalsThirty‐four client‐owned dogs diagnosed with acute or acute‐on‐chronic pancreatitis.Procedures and InterventionsMedical records of dogs evaluated for inappetence, anorexia, and GI for which a diagnosis of pancreatitis was recorded were reviewed. The time to initiation of food offerings since hospitalization were recorded in addition to signalment, historical medical conditions, chief complaint, physical examination findings, diagnostic results, treatments provided, timing of food offering (within 48 h of hospitalization, early feeding group (EFG) versus delayed feeding group (DFG), diet therapy (low fat versus high fat), caloric intake (% resting energy requirement), incidence of GI (%), and length of hospitalization (LOH) (days). A Clinical Severity Index Score (CSIS) was determined for each patient.Measurements and Main ResultsDogs in the EFG demonstrated a decreased time to return of voluntary intake (2.1 days, EFG versus 2.7 days, DFG; P = 0.05) and time (days) to maximum intake (3, EFG versus 3.4 DFG) as compared to the DFG dogs. The DFG exhibited more GI versus EFG irrespective of CSIS grouping (60% versus 26%, P = 0.04). A CSIS ≥ 7 was associated with prolonged LOH (P = 0.004); however, time to initiation of feeding and diet selection did not impact LOH (P = 0.8).Conclusions and Clinical RelevanceResults of the study suggested that feeding within 48 hours of hospitalization for canine pancreatitis has a positive impact on return to voluntary intake and decreases the frequency of GI in these patients, independent of CSIS. The traditional protocol of withholding food during hospitalization may not be necessary nor yield the most benefit for patient recovery; subsequently early enteral refeeding should be considered.