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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitř. Lék., 48, 2002, No. 9, p. 887 - 890 |
Nutritional Profile and Treatment of Subjects with Chronic Pancreatitis Žáková A.1, Žák J.2 1Interní gastroenterologická klinika FN Brno, pracoviště Bohunice, přednosta prof. MUDr. Petr Dítě, DrSc. 2I. chirurgická klinika Lékařské fakulty MU a FN u sv. Anny, Brno, přednosta prof.MUDr. JanWechsler, CSc. |
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Summary: The authors give an account on the nutritional status of patients with chronic pancreatitis according
to the Cambridge classification of ERCP changes grade II and III, treated conservatively and
by surgery. From a perspectively followed up group of 30 patients with chronic obstructive pancreatitis
before surgery 53.5 % suffered from malnutrition. Nine months after surgery the nutritional
status improved in 9 of 16 patients, malnutrition persisted in 23.3 %. During a check-up
examination 3 years after surgery and despite dietetic treatment and enzyme substitution 20 %
patients suffered from malnutrition. In some of the patients low zinc and magnesium serum levels
were found. In a group of 17 patients treated conservatively malnutrition was recorded in 41.2 %
patients. After modification of dietetic treatment and enzyme substitution the nutritional status
improved but during a check-up after 9 months 23.5 % patients remained malnourished. The
authors analyze the causes of development of malnutrition and possibilities of its therapy.
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