Natural Course and Treatment of Pancreatic Exocrine Insufficiency in a Nationwide Cohort of Chronic Pancreatitis

Dutch Pancreatitis Study Grp, Marinus A. Kempeneers, Usama Ahmed Ali, Yama Issa, Harry van Goor, Joost P. H. Drenth, Hendrik M. van Dullemen, Jeanin E. van Hooft, Alexander C. Poen, Sophie L. van Veldhuisen, Marc G. Besselink, Hjalmar C. van Santvoort, Marco J. Bruno, Marja A. Boermeester*

*Bijbehorende auteur voor dit werk

OnderzoeksoutputAcademicpeer review

1 Citaat (Scopus)
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Samenvatting

Objectives

Pancreatic exocrine insufficiency (PEI) is a common complication of chronic pancreatitis. However, little is known about the natural course of PEI and the effect of pancreatic enzyme replacement therapy on symptoms. The aim of this study was to evaluate the natural course and treatment of PEI in a nationwide cohort of patients with chronic pancreatitis.

Methods

Patients with chronic pancreatitis were selected from the multicenter Dutch Chronic Pancreatitis Registry. Patients were classified in 3 groups: definite PEI, potential PEI, and no PEI. Definite PEI and no PEI were compared regarding the course of disease, symptoms, treatment, and quality of life.

Results

Nine hundred eighty-seven patients were included from 29 centers, of which 304 patients (31%) had definite PEI; 451 (46%), potentially PEI; and 232 (24%), no PEI. Patients with definite PEI had significantly more malabsorption symptoms, a lower body mass index, and aberrant defecation. Lowered quality of life was not independently associated with PEI. Of the PEI patients using pancreatic enzyme replacement therapy, 47% still reported steatorrhea.

Conclusions

Pancreatic exocrine insufficiency is associated with malabsorption symptoms and a lower body mass index. Some form of pancreatic enzyme replacement therapy is reasonably effective in alleviating malabsorption symptoms, but improvement of treatment is needed.

Originele taal-2English
Pagina's (van-tot)242-248
Aantal pagina's7
TijdschriftPANCREAS
Volume49
Nummer van het tijdschrift2
DOI's
StatusPublished - feb-2020

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