Singh 2008.

Methods	Randomised controlled trial. Duration 3 months.
Participants	Adults (n = 60) with chronic pancreatitis, (male n = 50 and females n = 10), dietary advice group mean age 32 (SD 10) years, nutritional supplement group mean age 28 (SD 10) years. All patients undernourished, BMI <18.5 kg/m2 or >10% weight loss in previous 6 months. 6 dropouts.
Interventions	Dietary advice from a dietitian to meet predicted energy requirements (n = 25) versus a MCT‐enriched nutritional supplement to meet predicted energy requirements (n = 24).
Outcomes	BMI*, TSF*, MAMC* nitrogen balance, faecal fat, pain score.
Notes
Risk of bias
Bias	Authors' judgement	Support for judgement
Random sequence generation (selection bias)	Low risk	Computer‐generated random number list.
Allocation concealment (selection bias)	Low risk	Carried out by individual not otherwise involved in the study.
Blinding (performance bias and detection bias) Clinical outcomes	Low risk	Outcome assessment blinded to treatment.
Blinding (performance bias and detection bias) Functional outcomes	Low risk	Outcome assessment blinded to treatment.
Blinding (performance bias and detection bias) Nutritional outcomes	Low risk	Outcome assessment blinded to treatment.
Incomplete outcome data (attrition bias) All outcomes	Unclear risk	Dietary counselling group: 2 lost to follow‐up at 1 and a half months. Nutritional supplement group: 4 lost to follow‐up at 1 and a half months. But all included in the final analysis.
Selective reporting (reporting bias)	Low risk	All outcomes reported but not in a format usable for meta analysis. Data on change in weight, TSF, MAC and energy intake were reported as mean (SD) at baseline and mean (SD) at end of intervention, therefore mean change (SD) obtained from authors.
Other bias	Low risk	Baseline variables given, groups similar at baseline