Is There Need for Pancreatic Enzyme Replacement Therapy in Patients with Exocrine Pancreatic Insufficiency When Using High-Caloric Liquid Diets? Orientating Studies on Praecaecal Digestibility in Pigs with Experimentally Induced Pancreatic Exocrine Insufficiency and Ileocaecal Fistula

Abstract

In patients with pancreatic exocrine insufficiency (PEI), focus is primarily placed on fat digestion. Using high-caloric drinks (HCD) is often recommended to avoid malnutrition, but knowledge is limited whether pancreatic enzyme replacement therapy (PERT) is needed. In this study the animal model of pancreatic duct-ligated (PL) and ileocaecal-fistulated minipig was used to determine the praecaecal disappearance rates (pcDR) of the fat and protein of four HCD in controls and PL-pigs with or without PERT. In controls pcDR were high (95. Show more