PMID: 9163777May 1, 1997Paper

Pancreatic steatorrhea, malabsorption, and nutrition biochemistry: a comparison of Japanese, European, and American patients with chronic pancreatitis

Pancreas
T Nakamura, T Takeuchi

Abstract

This article reports on steatorrhea, daily food intake, and fecal substances other than fecal fat (e.g., neutral sterols, bile acids, short-chain fatty acids) in pancreatic exocrine dysfunction arising from chronic pancreatitis (CP) in Japanese. European, and American patients. Changes in upper small intestinal pH and lipase secretion, plasma fatty acid profiles, serum fat-soluble vitamin levels and symptoms of their deficiency, and nutritional status are discussed in detail. Treatment of pancreatic steatorrhea is described. Throughout this study, we compared characteristics of maldigestion and malabsorption in these patient populations and our study revealed that fecal fat excretion reflected quantitative differences in fat consumption, plasma fatty acid profiles reflected quantitative and qualitative differences in fish oil consumption, and there were no differences in pancreatic exocrine dysfunction among these three groups. Since differences in fecal fat excretion and plasma fatty acid profiles appear to depend on dietary fats, the pathology and treatment of CP patients should be evaluated and the findings used to prescribe treatments.

Citations

Jul 1, 2004·Indian Journal of Clinical Biochemistry : IJCB·Anita R BijoorT Venkatesh
Mar 29, 2001·Current Gastroenterology Reports·P LayerP G Lankisch
Oct 17, 2013·European Journal of Clinical Nutrition·B P M VerhaeghY C A Keulemans
Jan 10, 2012·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·Yeon Tae ChungGuang-Yu Yang
Jan 23, 1999·Journal of Clinical Gastroenterology·P Layer, J Keller
May 7, 2004·Journal of Clinical Gastroenterology·Esmeralda C Marginean, Dhanpat Jain
Nov 10, 1998·Lancet·W J McCarthy
Apr 20, 2014·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Elham AfghaniVikesh K Singh
Sep 25, 2001·The American Journal of Gastroenterology·Y LinUNKNOWN Research Committee on Intractable Pancreatic Diseases
Jan 15, 2019·Journal of Magnetic Resonance Imaging : JMRI·Akira YamamotoTsutomu Tamada
Sep 27, 2012·World Journal of Surgery·Fumihiko MiuraFukuo Kondo
Mar 31, 1998·International Journal of Pancreatology : Official Journal of the International Association of Pancreatology·T NakamuraT Suda

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