Management of pancreatic exocrine insufficiency: Australasian Pancreatic Club recommendations

Written by Ali Zarrouk on .

Pancreatic exocrine insufficiency occur due to a variety of pancreatic conditions including chronic pancreatitis, cystic fibrosis, pancreatic cancer and pancreatic surgery. Pancreatic enzymes play a vital role in the digestion of fat and when there is a deficiency fat maldigestion and malabsorption occur resulting in steatorrhoea. This a the passage of frothy, foul-smelling buoyant stools that tend to stick in the toilet bowl. Other symptoms may occur like abdominal pain, flatulence and weight loss. If untreated fat malabsorption may result in micronutrients defeciency.

Food Tolerance and GI Quality of Life is Best After Sleeve Gastrectomy

Written by Ali Zarrouk on .

When deciding on which weight-loss operation to choose, many patients focus mainly on the expected amount of weight loss for each operation. Food tolerance and gastrointestinal quality of life after surgery are often not discussed. In a recent article published in the journal Obesity Surgery, my colleagues at St George Hospital compared food tolerance and gastrointestinal quality of life after gastric banding, gastric bypass and sleeve gastrectomy. They showed that food tolerance and gastrointestinal quality of life following surgery were best after sleeve gastrectomy followed closely by gastric bypass. Patients with gastric banding had the worst food tolerance and gastrointestinal quality of life as well as lost less of their excess weight. Click here to go to the article.

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