Dietary intake after pancreatectomy.
BACKGROUND
Nutritional intake after pancreatectomy may be impaired. The extent of the problem and the effect on intake of specific nutrients is unknown.


METHODS
A 1-week weighed dietary food intake (using digital scales and a food diary) was studied in 15 patients, a median of 4 (range 1-30) months after pancreatectomy. Results were expressed as a percentage of estimated average requirement (EAR), reference nutrient intake (RNI) or lower RNI (LRNI) values.


RESULTS
The median energy intake was 1914 (range 1154-2804) kcal/day, representing a median of 88 (56-154) per cent of EAR. Fat intake was low (72 (60-123) g/day); protein intake was adequate (139 (99-219) per cent of RNI). Deficiencies were observed in the intake of vitamin D (17 (6-56) per cent of LRNI) and, in some patients, selenium (107 (19-203) per cent of LRNI).


CONCLUSIONS
Nutritional intake in the months after pancreatectomy could be improved by increasing fat intake (with enzyme supplements as appropriate). This 7-day study also suggests that these patients may require vitamin D and possibly selenium supplementation.
Maskell
C
C
Department of Nutrition and Dietetics, Royal South Hants Hospital, Southampton, UK.
Daniels
P
P
Johnson
C D
CD
D000328:Adult; D000368:Aged; D015992:Body Mass Index; D004435:Eating / Q000502:physiology*; D002149:Energy Intake / Q000502:physiology; D006801:Humans; D008875:Middle Aged; D009752:Nutritional Status; D010180:Pancreatectomy / Q000379:methods*; D010182:Pancreatic Diseases / Q000378:metabolism / Q000601:surgery; D011182:Postoperative Care / Q000379:methods*; D014815:Vitamins / Q000008:administration & dosage
D014815:Vitamins