Nutritional Status in Patients with Chronic Pancreatitis

Yuriy A. Kucheryavyy; Dmitry N. Andreev

doi:10.6000/1929-5634.2014.03.03.3

Authors

Yuriy A. Kucheryavyy Department of Internal Diseases Propaedeutics and Gastroenterology, Moscow State University of Medicine and Dentistry Named After A.I. Evdokimov of the Ministry of Healthcare of the Russian Federation, Delegatskaya Street, 20/1, 127473 Moscow, Russia
Dmitry N. Andreev Department of Internal Diseases Propaedeutics and Gastroenterology, Moscow State University of Medicine and Dentistry Named After A.I. Evdokimov of the Ministry of Healthcare of the Russian Federation, Delegatskaya Street, 20/1, 127473 Moscow, Russia

DOI:

https://doi.org/10.6000/1929-5634.2014.03.03.3

Keywords:

Chronic pancreatitis, exocrine pancreatic insufficiency, maldigestion, malnutrition, nutritive status.

Abstract

Chronic pancreatitis (CP) is defined as a continuing inflammatory disease of the pancreas that is characterized by irreversible morphological changes often associated with pain and the loss of exocrine and/or endocrine function, which may be clinically relevant. Maldigestion (absolute deficiency of pancreatic enzyme secretion) is a typical complication of CP of any etiology with long anamnesis. Fat malabsorption is considered to be the malnutrition base in CP patients. The purpose of this article is to evaluate the role of nutritive status and nutritive deficiency in CP patients, evaluate diagnostic approaches, correct nutritive status deviation with reference to previous experience, and explore the present situation and possible future perspectives.

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