Patient-Initiated and ConTrolled Oral Refeeding (PICTOR)
Patient-Initiated and ConTrolled Oral Refeeding (PICTOR)
The first step in treating patients with acute pancreatitis is to provide pain relief and
 intravenous fluids to keep them comfortable. As the pain subsides and patient starts to feel
 better food and fluids by mouth are restarted. This is done to rest the pancreas which is the
 organ that has been inflamed.

 In some patients when food by mouth restarts they have pain and as a consequence they have a
 longer stay in hospital. It is thought that patients who have little pain and are within 24
 hours of admission to hospital do well if they control their own food intake. This is in
 contrast to the usual treatment where the treating team advise when eating should restart.
Inclusion Criteria:

 -  diagnosis of acute pancreatitis

 -  age > 18 years

 -  written informed consent

 Exclusion Criteria:

 -  ongoing need for opiates

 -  >96 hours after onset of symptoms

 -  chronic pancreatitis

 -  post-ERCP pancreatitis

 -  intraoperative diagnosis

 -  pregnancy

 -  malignancy

 -  received nutrition before randomisation