DIAGNOSTICS OF PANCREATIC INSUFFICIENCY: MODERN VIEWS. FOCUS ON NUTRITIONAL STATUS


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Abstract

The article considers the issues of the diagnosis of exocrine pancreatic insufficiency in chronic pancreatitis with focus on nutritional status (NS). Modern views on methods of diagnostics of functional pancreatic insufficiency are presented, their diagnostic specificity and accuracy are discussed. An evaluation of the changes in the anthropometric and laboratory parameters of NS (water- and fat-soluble vitamins, proteins, lipids, minerals and trace elements in blood serum) has been performed. It has been shown that these parameters can be used to assess the likelihood of exocrine insufficiency, as well as to monitor enzyme replacement therapy and NS correction.

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About the authors

Yu. A Kucheryavy

FSBEI HE “Moscow State Medical Stomatological University n.a. A.I. Evdokimov" of RMH; NGHCICCH № 2 n.a. N.A. Semashko OAO Russian Railways

Email: proped@mail.ru
PhD, Associate Professor at the Department of Propaedeutics of Internal Diseases and Gastroenterology; Chief Gastroenterologist

T. V Bideyeva

FSBEI HE “Moscow State Medical Stomatological University n.a. A.I. Evdokimov" of RMH

A. B Samoylova

NGHCICCH № 2 n.a. N.A. Semashko OAO Russian Railways

I. V Mayev

FSBEI HE “Moscow State Medical Stomatological University n.a. A.I. Evdokimov" of RMH

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