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Pancreatic Exocrine Response to Parenteral Nutrition
Author(s) -
Bivins Brack A.,
Bell Richard M.,
Rapp Robert P.,
Toedebusch William H.
Publication year - 1984
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/014860718400800134
Subject(s) - parenteral nutrition , enteral administration , pancreas , fat emulsion , medicine , pancreatic fistula , fistula , exocrine pancreas , tonicity , pancreatic juice , endocrinology , surgery
Animal experimental data concerning pancreatic exocrine secretory response to parenteral nutrition is contradictory. We have studied the pancreatic exocrine output in a patient with a pure pancreatic fistula. In this patient, parenteral nutrition with hypertonic glucose, amino acids and fat emulsion was not associated with increases in fistula volume or protein output. Enteral protein and fat in this patient caused rapid increases in both fistula volume and protein output. This study supports the use of parenteral nutrition as a means of maintaining the pancreas at rest. (Journal of Parenteral and Enteral Nutrition 8 :34–36, 1984)