welcome to oneFAPvoice
- a positively charged Familial Adenomatous Polyposis community.- join today!
- login
Practical guide to exocrine pancreatic insufficiency – Breaking the myths
source: BMC Medicine
year: 2017
authors: Struyvenberg MR1, Martin CR1, Freedman SD
summary/abstract:BACKGROUND:
Exocrine pancreatic insufficiency (EPI) is characterized by a deficiency of exocrine pancreatic enzymes, resulting in malabsorption. Numerous conditions account for the etiology of EPI, with the most common being diseases of the pancreatic parenchyma including chronic pancreatitis, cystic fibrosis, and a history of extensive necrotizing acute pancreatitis. Treatment for EPI includes dietary management, lifestyle changes (i.e., decrease in alcohol consumption and smoking cessation), and pancreatic enzyme replacement therapy.
DISCUSSION:
Many diagnostic tests are available to diagnose EPI, however, the criteria of choice remain unclear and the causes for a false-positive test are not yet understood. Despite multiple studies on the treatment of EPI using exogenous pancreatic enzymes, there remains confusion amongst medical practitioners with regard to the best approach to diagnose EPI, as well as dosing and administration of pancreatic enzymes. Appropriate use of diagnostics and treatment approaches using pancreatic enzymes in EPI is essential for patients. This opinion piece aims to address the existing myths, remove the current confusion, and function as a practical guide to the diagnosis and treatment of EPI.
DOI: 10.1186/s12916-017-0783-y
read more full text source
expertly curated content related to this topic
-
High Rate of Recurrent Adenomatosis During Endoscopic Surveillance after Duodenectomy in Patients with Familial Aden...Advanced duodenal adenomatosis in patien...
-
Surveillance and Treatment of Duodenal Adenomatosis in Familial Adenomatous PolyposisBACKGROUND AND STUDY AIMS : Patients wit...
-
Progression of Duodenal Adenomatosis in Familial Adenomatous Polyposis: Due to Ageing of Subjects and Advances in Te...Familial adenomatous polyposis patients ...
-
Familial Syndromic Papillary Thyroid Carcinoma Report of Two CasesAIM : to describe two cases of familial ...
-
St. Pattie’s Day Desmoid vlog Update!!!https://www.youtube.com/watch?v=w1Itd_Zx...
-
Inherited Cancer Syndromes and the Thyroid: An UpdatePURPOSE OF REVIEW: Knowledge related to...
-
Diet for Colon Cancer PreventionCertain dietary habits may increase your...