DESCRIPTION
Chronic inflammatory condition of the pancreas, which results in functional
and structural damage. In most patients this is a chronic progressive disease leading to exocrine and endocrine insufficiency.
GENERAL MEASURES
Abstinence from alcohol reduces abdominal pain in the early stages of the disease.
Small frequent meals, and restricted fat intake – reduces pancreatic secretion and pain.
Elemental diets (i.e. parenteral or enteral nutrition) in chronically debilitated patients.
When weight loss is not responding to exogenous enzymes and diet, consider supplementation with medium chain triglycerides.
There is a risk of developing cancer of the pancreas. This should be considered in patients who develop worsening pain, new onset diabetes or deterioration in exocrine function.
Dietary advice by dietician.
MEDICINE TREATMENT
Treatment is aimed at:
» pain,
» malabsorption, and
» endocrine function. See section 8.5.2: Type 1 Diabetes mellitus.
Reference and further reading
Standard Treatment Guidelines and Essential Medicines List for South Africa 2012 Edition
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