1 Pancreatic rest by Nil Per Oral (NPO) strategy is considered necessary in AP till abdominal pain get resolved and the levels of pancreatic and inflammatory markers decrease.
11 Pancreatic rest through NPO was always considered necessary in AP and the general practice is to start oral refeeding in three to seven days of hospitalization.
Despite such guidelines, lot of discrepancies and confusion still exist between clinical practice and results actually obtained from studies on pancreatic rest, efficacy and safety of early oral refeeding in AP due to scarcity of data.
Heterotopic pancreas, also known as pancreatic rests, is the presence of pancreatic tissue found outside the normal anatomic position and lacking vascular connection with the body of the pancreas .
The physical examination rarely provides clues to the diagnosis of pancreatic rests as they are rarely, if ever, large enough to be detected by palpation .