| Theme | Chronic Pancreatitis | |
|---|---|---|
| Title | Diet Therapy and Medication for Chronic Pancreatitis | |
| Publish Date | 2014/05 | |
| Author | Junichi Sakagami | Department of Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine / Department of Diagnostic Medicine, Kyoto Prefectural University Hospital / Division of Medical Information, Kyoto Prefectural University Hospital / Section of Ultras |
| Author | Keisho Kataoka | Department of Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine / Ostu Municipal Hospital |
| Author | Hiroaki Yasuda | Department of Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine |
| Author | Yoshio Sogame | Department of Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine / Department of Diagnostic Medicine, Kyoto Prefectural University Hospital |
| Author | Ryusuke Kato | Department of Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine / Saiseikai Suita Hospital |
| Author | Yoshito Itoh | Department of Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine |
| [ Summary ] | It is no longer necessary to restrict fat ingestion for the painless chronic pancreatitis without steatorrhea. Fat restriction is necessary only for patients are fractory to enzyme replacement or for bouts of pain. Although medium chain triglyceride (MCT) produces adverse effects, e. g. meteorism, nausea, or vomiting, MCT is often chosen because nutrients are absorbable in the absence of pancreatic lipase. There is little evidence to indicate oral protease inhibitor may provide some degree of pain relief. Enteric coated pancreatin preparations are now available in Japan. All types of exocrine pancreatic insufficiency should be treated with this preparation. Elemental diets may be considered as a form of effective treatment for chronic pancreatitis in the near future. |
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