377 Nutritional Management in Acute Pancreatitis Patients and Its Effect on Recovery in a Single Institution in the UK

Aim This study aims to evaluate nutritional management of patients admitted with acute pancreatitis in a single institution in a 12-month period. This involves looking at the route of nutritional administration and nil-by-mouth status on admission. Method Patients admitted with acute pancreatitis from January to December 2022 at Basildon Hospital were identified using the hospital’s electronic patient records portal. Data on patient demographic, cause of pancreatitis, route of administration of nutrition were collated and analysed in Excel®. Results A total of 161 patients were included in this study and 84 (52.2%) were male. The commonest causes of acute pancreatitis in this cohort of patients are gallstones (34.0%) and alcohol (27.8%). Forty-one patients (25.4%) were made nil-by-mouth on admission. The median number of days a patient remained nil-by-mouth is 1 day with an interquartile range of 2 days. Out of the 120 patients who were not nil-by-mouth on admission, one was on nasogastric feeding and the rest had enteral nutrition by mouth. Of those who were nil-by-mouth on admission, 29 patients resumed enteral nutrition by mouth at a later date, 7 had nasogastric feeding, 2 had nasojejunal feeding and 3 had parenteral nutrition. Patients who were NBM on admission had significantly longer mean length of stay when compared to those who were not (p<0.05). Conclusions This study has shown most patients with acute pancreatitis started on oral feeding early in the course of the disease in this institution. This is in accordance with international guidelines.