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Exocrine Pancreatic Insufficiency - What it is and how RDNs can help!

Exocrine Pancreatic Insufficiency (EPI) can have major impacts on an individual's health and quality of life. As a dietitian, there are a variety of ways you can help identify EPI and support your patient through their EPI treatment. In this video, Valaree, MS, RD, CSO, LDN, CNSC, FAND gives an introductory walk through what EPI looks like and how it's managed. References: Berry AJ. Pancreatic surgery: indications, complications, and implications for nutrition intervention. Nutr Clin Pract. 2013 Jun;28(3):330-57. https://www.niddk.nih.gov/health-info... Keller J, Layer P. Human pancreatic exocrine response to nutrients in health and disease. Gut. 2005 Jul;54 Suppl 6(Suppl 6):vi1-28. Tappenden K. Intake: gastrointestinal digestion, absorption and excretion of nutrients. In: Raymond JL, Morrow K. Krause and Mahan’s Food & the Nutrition Care Process. 15th edition. Missouri: Elsevier; 2021: 2-16. Diéguez-Castillo C, Jiménez-Luna C, Prados J, et al. State of the art in exocrine pancreatic insufficiency. Medicina (Kaunas). 2020;56(10):523. AGA GI Patient Center. Exocrine pancreatic insufficiency (EPI). Accessed January 15, 2023. https://patient.gastro.org/exocrine-p... Dominguez-Muñoz JE. Diagnosis and treatment of pancreatic exocrine insufficiency. Curr Opin Gastroenterol. 2018;34(5):349-354. Kida A, McDonald G. Gastrointestinal, hepatobiliary, pancreatic and iron-related diseases in long-term survivors of allogeneic cell transplantation. Semin Hematol. 2012; 49(1):43-58. 27. Liu Y, Zhang H, Zhou L et al. Immunotherapy-Associated Pancreatic Adverse Events: Current Understanding of Their Mechanism, Diagnosis, and Management. Front Oncol. 2021 Feb 25;11:627612. 28. Marziliano A, Teckie S, Diefenbach MA. Alcohol-related head and neck cancer: Summary of the literature. Head Neck. 2020;42(4):732-738. 29. Duggan, SN, Conlon KC. Pancreatogenic Type 3c Diabetes: Underestimated, Underappreciated and Poorly Managed. Practical Gastroenterology. 2017;May(5):14-23. Petzel M. Medical Nutrition Therapy for Pancreatic Cancer. In: Voss A, Williams V, eds. Oncology for Clinical Practice. 2nd Edition. Academy of Nutrition and Dietetics; 2021:434- 471. Williams, V. 50 Ways to Treat Pancreatic Insufficiency (ok, maybe not 50…). Practical Gastro. 2022; November : 12-26. Cystic Fibrosis Foundation. Pancreatic Enzymes Clinical Care Guidelines . November 1995. Updated July 2021. Accessed on January 14, 2023. https://www.cff.org/medical-professio... Links to our macronutrient digestion videos can be found here: Protein:    • Protein Digestion and Nutrition Support   Carbohydrates:    • The Basics of Carbohydrate Digestion   Lipids:    • Intro to Lipid Digestion and Absorption