Does jejunal feeding with a polymeric immune-enhancing formula increase pancreatic exocrine output as compared with TPN? A case report.
This case report compares the pancreatic output with different feeding regimes in a patient who underwent a partial pancreatectomy for carcinoma of the ampulla of Vater. A postoperative secretin stimulation test demonstrated significant pancreatic reserve. There was no difference in pancreatic exocrine secretion when the patient was fed jejunally with a polymeric immune-enhancing formula or supported with two different formulations of total parenteral nutrition. This result suggests that jejunal infusion of a polymeric immune-enhancing formula may be safe to administer in patients with acute pancreatitis.
Duerksen
D R
DR
Department of Medicine, St. Boniface General Hospital, University of Manitoba, Winnipeg, Canada. duerksn@cc.umanitoba.ca
Bector
S
S
Yaffe
C
C
Parry
D M
DM
D000328:Adult; D000681:Amylases / Q000378:metabolism; D001639:Bicarbonates / Q000378:metabolism; D002918:Chymotrypsin / Q000378:metabolism; D004750:Enteral Nutrition; D005260:Female; D005526:Food, Formulated; D006801:Humans; D007109:Immunity; D007583:Jejunum; D008049:Lipase / Q000378:metabolism; D010179:Pancreas / Q000378:metabolism*; D010189:Pancreatic Juice / Q000378:metabolism; D010289:Parenteral Nutrition, Total
D001639:Bicarbonates; D008049:Lipase; D000681:Amylases; D002918:Chymotrypsin