On the peculiarities of nutrition of patients with chronic pancreatitis in remission

Abstract

The review contains modern statistical data on the prevalence and incidence of chronic pancreatitis, the role of nutrition in the development of the chronic inflammatory process in the pancreas, the influence of nutritional culture on the formation of the disease. The pathophysiological changes occurring in the pancreas upon alcohol abuse are revealed. The components of food and beverages that can disrupt the metabolism of nutrients, activate specific enzymes, initiate lipid peroxidation processes and provoke an inflammatory process in the gland tissue are listed. The objective signs of chronic pancreatitis and the dominant clinical syndromes are described in detail. A brief historical excursion into the peculiarities of dietary nutrition in patients with chronic pancreatitis is presented, modern ideas on the rational nutrition of patients with chronic pancreatitis are described. Emphasis is made on the dietary habits of patients in remission; the importance of adaptation to adequate ration during the period of attenuation of exacerbation of chronic pancreatitis is underlined. The recommendations for the prevention of diabetes mellitus are set, nutritional measures that can improve the processes of absorption and digestion are listed. The feasibility of an individual approach to the development of an optimal diet, taking into account the peculiarities of the course of chronic pancreatitis, the patient’s condition, which helps prevent the progression of exo- and endocrine pancreatic insufficiency, is considered. The importance of diet in the rehabilitation of patients with chronic pancreatitis is discussed.