Exocrine Pancreatic Insufficiency - What it is and how RDNs can help!

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  • čas přidán 20. 07. 2024
  • Exocrine Pancreatic Insufficiency (EPI) can have major impacts on an individual's health and quality of life. As a dietitian, there are a variety of ways you can help identify EPI and support your patient through their EPI treatment. In this video, Valaree, MS, RD, CSO, LDN, CNSC, FAND gives an introductory walk through what EPI looks like and how it's managed.
    References:
    Berry AJ. Pancreatic surgery: indications, complications, and implications for nutrition intervention. Nutr Clin Pract. 2013 Jun;28(3):330-57.
    www.niddk.nih.gov/health-info...
    Keller J, Layer P. Human pancreatic exocrine response to nutrients in health and disease. Gut. 2005 Jul;54 Suppl 6(Suppl 6):vi1-28.
    Tappenden K. Intake: gastrointestinal digestion, absorption and excretion of nutrients. In: Raymond JL, Morrow K. Krause and Mahan’s Food & the Nutrition Care Process. 15th edition. Missouri: Elsevier; 2021: 2-16.
    Diéguez-Castillo C, Jiménez-Luna C, Prados J, et al. State of the art in exocrine pancreatic insufficiency. Medicina (Kaunas). 2020;56(10):523.
    AGA GI Patient Center. Exocrine pancreatic insufficiency (EPI). Accessed January 15, 2023. patient.gastro.org/exocrine-p...
    Dominguez-Muñoz JE. Diagnosis and treatment of pancreatic exocrine insufficiency. Curr Opin Gastroenterol. 2018;34(5):349-354.
    Kida A, McDonald G. Gastrointestinal, hepatobiliary, pancreatic and iron-related diseases in long-term survivors of allogeneic cell transplantation. Semin Hematol. 2012; 49(1):43-58. 27.
    Liu Y, Zhang H, Zhou L et al. Immunotherapy-Associated Pancreatic Adverse Events: Current Understanding of Their Mechanism, Diagnosis, and Management. Front Oncol. 2021 Feb 25;11:627612. 28.
    Marziliano A, Teckie S, Diefenbach MA. Alcohol-related head and neck cancer: Summary of the literature. Head Neck. 2020;42(4):732-738. 29.
    Duggan, SN, Conlon KC. Pancreatogenic Type 3c Diabetes: Underestimated, Underappreciated and Poorly Managed. Practical Gastroenterology. 2017;May(5):14-23.
    Petzel M. Medical Nutrition Therapy for Pancreatic Cancer. In: Voss A, Williams V, eds. Oncology for Clinical Practice. 2nd Edition. Academy of Nutrition and Dietetics; 2021:434- 471.
    Williams, V. 50 Ways to Treat Pancreatic Insufficiency (ok, maybe not 50…). Practical Gastro. 2022; November : 12-26.
    Cystic Fibrosis Foundation. Pancreatic Enzymes Clinical Care Guidelines . November 1995. Updated July 2021. Accessed on January 14, 2023. www.cff.org/medical-professio...
    Links to our macronutrient digestion videos can be found here:
    Protein: • Protein Digestion and ...
    Carbohydrates: • The Basics of Carbohyd...
    Lipids: • Intro to Lipid Digesti...
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Komentáře • 12

  • @christinavakas
    @christinavakas Před 7 měsíci +4

    I have EPI. You really hit home with me. No one is following up on me. I probably call the gastroenterologist and set up an appt. Been taking Zenpep for 2 months. Cost is outrageous. Thanks again for a clear, concise presentation on EPI❤

  • @reardontapia
    @reardontapia Před 9 měsíci +5

    Very thoroughly explained. Thank you.

  • @arthurtheartist
    @arthurtheartist Před 6 měsíci +2

    excellent video. one of the best I've seen on this topic.

  • @lillianraker6429
    @lillianraker6429 Před 5 měsíci +1

    This video is so well done, thank you for providing clear and compassionate information!

  • @BARF_FACE_9000
    @BARF_FACE_9000 Před 6 měsíci +1

    Thanks for more info. I just got a test result back that mine is quite low… I have struggled with issues of IBS and only now finally charting a path to recovery / treatment.. to be continued but- I guess knowledge is power and I’ll have to get some more enzymes somehow someway!

  • @ninadperiodon
    @ninadperiodon Před 3 měsíci +1

    Just add Ox bile and treatment plan is complete. Thank me now.

  • @RyanMcGirr-bu4qr
    @RyanMcGirr-bu4qr Před 8 měsíci +3

    EPI tested twice well below normal range of 200-1000. All symptoms except flatulence. Five or more stools per day. If I eat fat they float. Before PERTs foul smelling sometimes. Have tested fat soluble vitamins levels and bone density. Dental health has declined greatly this last year.
    Was put on FODMAP diet and many lab test. Before EPI test my mental health was questioned and was drug tested. Still having issues.

    • @eliderobot620
      @eliderobot620 Před 4 měsíci +1

      me too, I go like 6 times to the toilet, anything I eat immediately comes out, anything liquid triggers diarrhea, I have type 1 diabetes, osteoporosis, severely underweight

    • @sandymutert8495
      @sandymutert8495 Před měsícem

      I tested out at 58 per the test…out of 200.

  • @ninadperiodon
    @ninadperiodon Před 3 měsíci +1

    bile sludge and gallstones .

  • @Perry-qs6fx
    @Perry-qs6fx Před 23 dny

    I have a question ! Recently diagnosed but instead of losing weight I blew up and need to start losing weight -the bloating is real! Any suggestions ?