Exocrine pancreatic insufficiency

insuficiencia pancreatica

The exocrine pancreatic insufficiency (EPI) is defined as the partial or total inability of the pancreas to produce the digestive enzymes essential for the transformation of ingested food. Generally, EPI is associated with poor digestion with the consequent poor absorption of undigested food, triggering a state of severe malnutrition.In the case of pancreas cystic fibrosis (CF), it is a genetic-based disease that causes thick and sticky secretions that block the pancreatic duct. This insufficiency, in addition to the use of other drugs, is treated with a balanced diet, rich in proteins, vitamins and vegetable fiber. It is also advisable to supplement with fat-soluble vitamins A, D, E and K, whose absorption is altered as a consequence of the secondary poor digestion to PANCREATIC EXOCRINE INSUFFICIENCY (EPI).

Likewise and in order to correct the lipid defect present in CF, in addition to reducing the inflammation of the exocrine ducts, it is advisable the administration of a specific fatty acid such as DHA, which a part from making its anti-inflammatory action, it provides an important energetic value. Enzymatic substitution therapy is also essential in the presence of an IPE in order to facilitate better nutrients absorption. There are foods for special medical purposes known as FSMPs that have been specially formulated or prepared for the dietary management of those patients which need to be under constant medical supervision. The FSMPs are especially indicated for people who have a limited, deficient or altered capacity to ingest, digest, absorb, metabolize and / or excrete specific foods or nutrients.

Some of these specific foods to treat this insufficiency are marketed under the brands FIADEK® and BIDHA®.

  • FIADEK® is food for special medical purposes, for the dietetic and nutritional treatment of clinical situations that occur with a bad absorption of vitamins A, D, E, K. and other fat-soluble nutrients, such as cystic fibrosis. This product can be purchased in liquid format for children and adults who can`t swallow a capsule and in softgel capsules format for adults.
  • BIDHA® is food for special medical purposes, consisting of a special formula of 100% pure vegetable DHA, which corresponds to a long-chain essential fatty acid of the omega-3 family. It acts as an effective anti-inflammatory against various pathologies, thanks to its origin from the microalga Schizochytrium sp. It can be taken by patients who present some type of allergy to fish. Among the patients most benefited by this product, are those affected by cystic fibrosis, pancreatic insufficiency or with severe malnutrition who need an extra of DHA.
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