Helicobacter pylori Lactose intolerance Bacterial overgrowth Exocrine Pancreatic Insufficiency

 

HEALTH SECTION / Exocrine Pancreatic Insufficiency

 

What is it?

EPI is a serious disorder that occurs when pancreas produces digestive enzymes or insufficiently produced, which means that the body cannot digest food as well, causing an inadequate absorption of nutrients from food.

The EPI is a major consequence of a wide range of serious diseases that disrupt normal pancreatic function. The diseases which are associated with the EPI are:

  • Acute pancreatitis (AP).
  • Chronic pancreatitis (CP).
  • Pancreatic cancer.
  • Pancreatic Surgery.
  • Gastric surgery.
  • Cystic Fibrosis.
  • Diabetes.

 

Symptoms

Common symptoms of the EPI are:

  • Abdominal pain.
  • Flatulence (in adults).
  • Weight loss.
  • Lack of weight gain in children.
  • Depositions fats (steatorrhea).
  • Fatigue or lack of energy.

 

Diagnosis

Direct Test:

  • Secretin Test.
  • Secretin-cerulein test.
  • Lundh test.

 

Indirect Test:

 

Recommended treatment

Treatment for EPI is the pancreatic enzyme replacement therapy (enzyme replacement treatment, TES). Addition of TES, may also be prescribed vitamins and nutritional supplements.

 

References

  • Domínguez-Muñoz JE. Pancreatic enzyme replacement therapy for pancreatic exocrine insufficiency: When is it indicated, what is the goal and how to do it? Advances in Medical Sciences 2011; 56(1): 1-5. DOI:10.2478/v10039-011-0005-3.
  • Domínguez-Muñoz JE. Pancreatic exocrine insufficiency: Diagnosis and treatment. Journal of Gastroenterology and Hepatology 2011; 26(2):12-16.

 

Upcoming Congress and Events

June 2017
M T W T F S S
29 30 31 1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30 1 2

Latest news