Suizo
Online ISSN : 1881-2805
Print ISSN : 0913-0071
ISSN-L : 0913-0071
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The importance of nutritional management of patients with acute and chronic pancreatitis and the role of registered dieticians
Yuri ISHIIAkira SAKATAKyoko SHIMIZUYoshifumi TAKEYAMA
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2020 Volume 35 Issue 2 Pages 174-179

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Abstract

Patients with pancreatitis benefit from different types of dietary fat depending on their condition and require appropriate nutritional guidance to improve their quality of life. A middle aged woman who required fat restriction for drug-induced pancreatitis, was given nutritional guidance. The doctor instructed her to restrict her fat intake to 20g/day, and provided information regarding the fat content of different foods, meal plans, and food preparation techniques. However, this guidance was only provided once. Thereafter, a fat-restricted diet was considered unnecessary by the doctor and provided only at the request of the patient. Although the doctor permitted increased fat intake, the patient continued a fat-restricted diet as a precautionary measure to avoid recurrent pancreatitis. This led to significant loss of weight and muscle strength, which impeded her ability to work. Nutritional guidance was then reintroduced. In coordination with the doctor, a registered dietician evaluated the nutritional intake of the patient every month. After considerably increasing the amounts of fat, protein, and energy in her diet, the patient regained her original working situation. A registered dietician should coordinate with the doctor to actively provide routine and detailed nutritional guidance to improve the nutritional status and quality of life of patients with pancreatitis.

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© 2020 Japan Pancreas Society
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