5 results on '"Pancreatic supplements"'
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2. Chronic pancreatitis and nutritional support.
- Author
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Campagnola P, de Pretis N, Zorzi A, Caldart F, and Frulloni L
- Subjects
- Humans, Nutritional Support, Pancreatitis, Chronic complications, Pancreatitis, Chronic therapy, Diabetes Mellitus etiology, Diabetes Mellitus therapy, Malnutrition complications, Exocrine Pancreatic Insufficiency complications, Exocrine Pancreatic Insufficiency therapy, Insulins
- Abstract
Malnutrition in patients with chronic pancreatitis is common, but its evaluation is often missed in clinical practice. Pancreatic exocrine insufficiency is the single most important cause of malnutrition; therefore, it needs to be screened for and treated appropriately. Specific diet regimens in patients suffering from chronic pancreatitis are rarely reported in the literature. Patients suffering from chronic pancreatitis have a higher demand for energy but a lower caloric intake secondary to pancreatic exocrine insufficiency, combined with the malabsorption of liposoluble vitamin and micronutrients, which needs be corrected by appropriate dietary counselling. Diabetes is frequently observed in chronic pancreatitis and classified as type 3c, which is characterized by low levels of both serum insulin and glucagon; therefore, there is a tendency towards hypoglycaemia in patients treated with insulin. Diabetes contributes to malnutrition in chronic pancreatitis. Strategies to treat exocrine and endocrine insufficiency are important to achieve better control of the disease., Competing Interests: Declaration of competing interest None., (Copyright © 2023 Elsevier Ltd. All rights reserved.)
- Published
- 2023
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3. Rationale of modern dietary recommendations in cystic fibrosis.
- Author
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Littlewood, J. M. and MacDonald, Anita
- Subjects
- *
DIET in disease , *CYSTIC fibrosis , *MALNUTRITION , *DIETARY supplements , *BREASTFEEDING - Abstract
The article explores the reasons for changing the traditional dietary recommendations for patients with cystic fibrosis (CF). The factors for malnutrition in CF include poor energy intake, severe intestinal malabsorption and increased energy expenditure. Glucose polymers, concentrated glucose drinks and the complete supplemented milk-based feeds are some dietary supplements preferred for CF patients. Breastfeeding the CF infant provides protective factors and contains lipase.
- Published
- 1987
4. Italian consensus guidelines for chronic pancreatitis
- Author
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Frulloni, L, Falconi, M, Gabbrielli, A, Gaia, E, Graziani, R, Pezzilli, R, Uomo, G, Andriulli, A, Balzano, G, Benini, L, Calculli, L, Campra, D, Capurso, G, Cavestro, Gm, De Angelis, C, Ghezzo, L, Manfredi, R, Malesci, A, Mariani, A, Mutignani, M, Ventrucci, M, Zamboni, G, Amodio, A, Vantini, I, Bassi, C, Delle Fave, G, Capurso, Iv, Magarini, F, Albarello, L, Alfieri, S, Anti, M, Arcidiacono, P, Baiocchi, L, Berretti, D, Boraschi, P, Buscarini, E, Carroccio, A, Celebrano, Mr, Casadei, R, Chilovi, F, Conigliaro, R, Dall'Oglio, L, De Boni, M, De Pretis, G, Di Priolo, S, Di Sebastiano PL, Doglietto, Gb, Filauro, M, Frieri, G, Fuini, A, Loriga, P, Macarri, G, Manes, G, Massucco, P, Milani, S, Pasquali, Claudio, Pederzoli, P, Pietrangeli, M, Rocca, R, Russello, D, Siquini, W, Traina, M, Veneroni, L, Zilli, M, Italian Association for the Study of the Pancreas, Frulloni L, Falconi M, Gabbrielli A, Gaia E, Graziani R, Pezzilli R, Uomo G, Andriulli A, Balzano G, Benini L, Calculli L, Campra D, Capurso G, Cavestro GM, De Angelis C, Ghezzo L, Manfredi R, Malesci A, Mariani A, Mutignani M, Ventrucci M, Zamboni G, Amodio A, Vantini I, Italian Association for the Study of the Pancreas (AISP), Bassi C, Delle Fave G, Capurso IV, Magarini F, Albarello L, Alfieri S, Anti M, Arcidiacono P, Baiocchi L, Berretti D, Boraschi P, Buscarini E, Carroccio A, Celebrano MR, Casadei R, Chilovi F, Conigliaro R, Dall'Oglio L, De Boni M, De Pretis G, Di Priolo S, Di Sebastiano PL, Doglietto GB, Filauro M, Frieri G, Fuini A, Loriga P, Macarri G, Manes G, Massucco P, Milani S, Pasquali C, Pederzoli P, Pietrangeli M, Rocca R, Russello D, Siquini W, Traina M, Veneroni L, Zilli M, Zamboni G., Frulloni, L, Falconi, M, Gabbrielli, A, Gaia, E, Graziani, R, Pezzilli, R, Uomo, G, Andriulli, A, Balzano, G, Benini, L, Calculli, L, Campra, D, Capurso, G, Cavestro, Gm, De Angelis, C, Ghezzo, L, Manfredi, R, Malesci, A, Mariani, A, Mutignani, M, Ventrucci, M, Zamboni, G, Amodio, A, Vantini, I, Italian Association for the Study of the Pancreas, (AISP), Bassi, C, Delle Fave, G, Capurso, Iv, Magarini, F, Albarello, L, Alfieri, S, Anti, M, Arcidiacono, P, Baiocchi, L, Berretti, D, Boraschi, P, Carroccio, A, Celebrano, Mr, Casadei, R, Chilovi, F, Conigliaro, R, Dall'Oglio, L, De Boni, M, De Pretis, G, Di Priolo, S, Di Sebastiano, Pl, Doglietto, Gb, Filauro, M, Frieri, G, Fuini, A, Macarri, G, Manes, G, Massucco, P, Milani, S, Pasquali, C, Pederzoli, P, Pietrangeli, M, Rocca, R, Russello, D, Siquini, W, Traina, M, Veneroni, L, Zilli, M, and Zamboni, G.
- Subjects
medicine.medical_specialty ,complications ,pancreatic supplements ,diagnostic imaging ,pancreatitis ,MEDLINE ,cholangiopancreatography ,chronic ,endoscopic retrograde ,pain ,quality of life ,radiography ,sphincterotomy ,steatorrhea ,surgery ,therapy ,ultrasonography ,Appropriate use ,guidelines ,chronica pancreatitis ,Pancreatitis, Chronic ,Pancreatitis, chronic ,Complications ,Surgery ,Medical imaging ,Medicine ,Humans ,Pancreatic stones ,Intensive care medicine ,Surgical treatment ,Hepatology ,medicine.diagnostic_test ,business.industry ,Pancreatitis ,Radiography ,Therapy ,Ultrasonography ,Cholangiopancreatography ,Sphincterotomy ,Diagnostic imaging ,Pain ,Quality of life ,Steatorrhea ,Pancreatic supplements ,Gastroenterology ,medicine.disease ,Endoscopy ,Pancreatic pain ,Italy ,CHRONIC PANCREATITIS ,Radiology ,business - Abstract
This paper gives practical guidelines for diagnosis and treatment of chronic pancreatitis. Statements have been elaborated by working teams of experts, by searching for and analysing the literature, and submitted to a consensus process by using a Delphi modified procedure. The statements report recommendations on clinical and nutritional approach, assessment of pancreatic function, treatment of exocrine pancreatic failure and of secondary diabetes, treatment of pain and prevention of painful relapses. Moreover, the role of endoscopy in approaching pancreatic pain, pancreatic stones, duct narrowing and dilation, and complications was considered. Recommendations for most appropriate use of various imaging techniques and of ultrasound endoscopy are reported. Finally, a group of recommendations are addressed to the surgical treatment, with definition of right indications, timing, most appropriate procedures and techniques in different clinical conditions and targets, and clinical and functional outcomes following surgery. © 2010 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved. Keywords: Pancreatitis, chronic; Complications; Surgery; Radiography; Therapy; Ultrasonography; Cholangiopancreatography
- Published
- 2010
5. Italian consensus guidelines for chronic pancreatitis
- Author
-
Frulloni, Luca, Falconi, Massimo, Gabbrielli, Armando, Gaia, Ezio, Graziani, Rossella, Pezzilli, Raffaele, Uomo, Generoso, Andriulli, Angelo, Balzano, Gianpaolo, Benini, Luigi, Calculli, Lucia, Campra, Donata, Capurso, Gabriele, Cavestro, Giulia Martina, De Angelis, Claudio, Ghezzo, Luigi, Manfredi, Riccardo, Malesci, Alberto, Mariani, Alberto, Mutignani, Massimiliano, Ventrucci, Maurizio, Zamboni, Giuseppe, Amodio, Vito Antonio, Vantini, Italo, Bassi, Claudio, Delle Fave, Gianfranco, Capurso, Italo Vantini, Magarini, Flavio, Albarello, Luca, Alfieri, Sergio, Anti, Marcello, Arcidiacono, Piergiorgio, Baiocchi, Luca, Berretti, Debora, Boraschi, Pietro, Buscarini, Elisabetta, Carroccio, Antonio, Celebrano, Mario Roberto, Casadei, Riccardo, Chilovi, Fausto, Conigliaro, Rita, Dall'Oglio, Luigi, De Boni, Michele, De Pretis, Giovanni, Di Priolo, Sebastiano, Di Sebastiano, Pier Luigi, Doglietto, Giovanni Battista, Filauro, Marco, Frieri, Giuseppe, Fuini, Arnaldo, Loriga, Pietro, Macarri, Giampiero, Manes, Gianpiero, Massucco, Paolo, Milani, Stefano, Pasquali, Claudio, Pederzoli, Paolo, Pietrangeli, Michele, Rocca, Rodolfo, Russello, Domenico, Siquini, Walter, Traina, Mario, Veneroni, Luigi, Zilli, Maurizio, Manfredi, Riccardo (ORCID:0000-0002-4972-9500), Mutignani, Massimiliano (ORCID:0000-0002-1272-4888), Amodio, Antonio, Alfieri, Sergio (ORCID:0000-0002-0404-724X), Frulloni, Luca, Falconi, Massimo, Gabbrielli, Armando, Gaia, Ezio, Graziani, Rossella, Pezzilli, Raffaele, Uomo, Generoso, Andriulli, Angelo, Balzano, Gianpaolo, Benini, Luigi, Calculli, Lucia, Campra, Donata, Capurso, Gabriele, Cavestro, Giulia Martina, De Angelis, Claudio, Ghezzo, Luigi, Manfredi, Riccardo, Malesci, Alberto, Mariani, Alberto, Mutignani, Massimiliano, Ventrucci, Maurizio, Zamboni, Giuseppe, Amodio, Vito Antonio, Vantini, Italo, Bassi, Claudio, Delle Fave, Gianfranco, Capurso, Italo Vantini, Magarini, Flavio, Albarello, Luca, Alfieri, Sergio, Anti, Marcello, Arcidiacono, Piergiorgio, Baiocchi, Luca, Berretti, Debora, Boraschi, Pietro, Buscarini, Elisabetta, Carroccio, Antonio, Celebrano, Mario Roberto, Casadei, Riccardo, Chilovi, Fausto, Conigliaro, Rita, Dall'Oglio, Luigi, De Boni, Michele, De Pretis, Giovanni, Di Priolo, Sebastiano, Di Sebastiano, Pier Luigi, Doglietto, Giovanni Battista, Filauro, Marco, Frieri, Giuseppe, Fuini, Arnaldo, Loriga, Pietro, Macarri, Giampiero, Manes, Gianpiero, Massucco, Paolo, Milani, Stefano, Pasquali, Claudio, Pederzoli, Paolo, Pietrangeli, Michele, Rocca, Rodolfo, Russello, Domenico, Siquini, Walter, Traina, Mario, Veneroni, Luigi, Zilli, Maurizio, Manfredi, Riccardo (ORCID:0000-0002-4972-9500), Mutignani, Massimiliano (ORCID:0000-0002-1272-4888), Amodio, Antonio, and Alfieri, Sergio (ORCID:0000-0002-0404-724X)
- Abstract
This paper gives practical guidelines for diagnosis and treatment of chronic pancreatitis. Statements have been elaborated by working teams of experts, by searching for and analysing the literature, and submitted to a consensus process by using a Delphi modified procedure. The statements report recommendations on clinical and nutritional approach, assessment of pancreatic function, treatment of exocrine pancreatic failure and of secondary diabetes, treatment of pain and prevention of painful relapses. Moreover, the role of endoscopy in approaching pancreatic pain, pancreatic stones, duct narrowing and dilation, and complications was considered. Recommendations for most appropriate use of various imaging techniques and of ultrasound endoscopy are reported. Finally, a group of recommendations are addressed to the surgical treatment, with definition of right indications, timing, most appropriate procedures and techniques in different clinical conditions and targets, and clinical and functional outcomes following surgery. (C) 2010 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.
- Published
- 2010
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