Does jejunal feeding with a polymeric immune-enhancing formula increase pancreatic exocrine output as compared with TPN? A case report

Nutrition. 2000 Jan;16(1):47-9. doi: 10.1016/s0899-9007(99)00225-7.

Abstract

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.

Publication types

  • Case Reports
  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Amylases / metabolism
  • Bicarbonates / metabolism
  • Chymotrypsin / metabolism
  • Enteral Nutrition*
  • Female
  • Food, Formulated*
  • Humans
  • Immunity*
  • Jejunum*
  • Lipase / metabolism
  • Pancreas / metabolism*
  • Pancreatic Juice / metabolism
  • Parenteral Nutrition, Total*

Substances

  • Bicarbonates
  • Lipase
  • Amylases
  • Chymotrypsin