What is Exocrine Pancreatic Insufficiency??

Exocrine pancreatic insufficiency (EPI) is a condition affecting the pancreas, an organ located in the abdomen that plays an essential role in converting the food we eat into fuel for the body’s cells. The pancreas has two main functions: it helps with digestion, and it regulates blood sugar.

The pancreas produces enzymes that break down food and keep digestion moving properly. For those with EPI, the pancreas does not make enough of these enzymes, which prevents the absorption of nutrients and disrupts digestion.

There are numerous gastro-intestinal symptoms of EPI, ranging from mild to extreme including:

  • Gas
  • Bloating
  • Diarrhea
  • Abdominal pain
  • Greasy, oily stools
  • Foul-smelling stools
  • Unexplained weight loss

Other symptoms can include fatigue, dizziness, dry skin, brittle nails, hair loss, depression, irritability, and problems with memory and concentration. These can occur when the body does not absorb the necessary fats and nutrients from food.

EPI is often the result of a variety of conditions, such as

  • Pancreatitis
  • Cystic fibrosis
  • Pancreatic cancer
  • Celiac disease
  • Crohn’s disease
  • Ulcerative colitis
  • Diabetes

There are diagnostic tests your doctor can perform if he or she suspects you have EPI. Once EPI is confirmed, the most common form of treatment is pancreatic enzyme replacement therapy (PERT). PERT supplements are capsules that contain a mixture of digestive enzymes that those with EPI cannot produce to help them break down fat and assist with digestion.

It is also recommended that people with EPI eat a healthy diet rich in fruits, vegetables, whole grains, and healthy proteins. It is also important not to avoid foods with fats, as these are essential to maintaining a healthy weight. However, it is best to stick with healthy fats, like salmon, avocado, and nuts rather than unhealthy trans or saturated fats found in red meats, dairy products, and fried foods.

To schedule an appointment with a gastroenterologist at Flushing Hospital’s Ambulatory Care Center, please call 718-670-5486.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Understanding Exocrine pancreatic insufficiency (EPI)

Exocrine pancreatic insufficiency (EPI) is a condition that affects digestion due to an inability to break down food properly. This occurs when the pancreas doesn’t make enough of the enzymes needed to break down and absorb nutrients.

Enzymes speed up chemical reactions in your body. The enzymes made by your pancreas move into your small intestine, where they help break down the food you eat. When you have EPI, you don’t get the nutrition you need because your body can’t absorb fats and and minerals from foods.

Some of the causes of EPI can include:

  • Chronic pancreatitis – A condition marked by frequent inflammation of the pancreas
  • Previous surgery of your pancreas, stomach, or intestines.
  • Existence of other conditions such as Crohn’s Disease, celiac disease, Cystic fibrosis or Shwachman-Diamond syndrome

Symptoms of EPI can include:

  • Pain or tenderness in the belly
  • Bad-smelling bowel movements
  • Diarrhea
  • Gas
  • Feeling full
  • Weight loss
  • Pain in your bones

Several tests can help diagnose EPI, including: blood tests to determine if you are getting enough vitamins in your diet, fecal tests to check for the amount of fat in your bowel movements and imaging tests to see if your pancreas is inflamed.

The right diet is very important for managing EPI. A dietitian can help you choose the foods that keep your energy level up and give you the nutrition you need.  Some other tips include eating up to six small meals per day, avoiding alcohol, and taking vitamin supplements.

Apart from a healthy diet, the main treatment for EPI is pancreatic enzyme replacement therapy (PERT). You take prescription pills that replace the enzymes your pancreas isn’t making. These enzymes break down your food so you can more easily digest and absorb it. You may also need to take an antacid to keep your stomach from breaking down pancreatic enzymes before they can start to work.

If you are experiencing symptms of EPI and would like to speak with a doctor at Flushing Hospital, please call our Ambulatory Care Center at 718-670-5486

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Flushing Hospital’s Division of Robotic Surgery Performs Minimally Invasive Colectomy Procedures

colectomy, Flushing Hospital, Robotic Surgery, Bowel Resection, Colon Cancer, Chron's Disease, Colitis, Colon, bowel obstruction

A colectomy, also known as a bowel resection, is a surgical procedure where a part of or the entire colon is removed.

The colon is part of the body’s digestive system, which removes and processes nutrients from foods and helps pass waste material out of the body. A colectomy may be required when the colon fails to function as it should.

This may occur for a variety of issues or conditions including:

  • Bowel obstruction – A blockage that keeps food or liquid from passing through your small or large intestine.
  • Bowel perforation – A hole in the wall of the small or large intestine. This is a serious and potentially fatal condition that may require immediate surgery.
  • Crohn’s disease – An inflammatory bowel disease (IBD) that causes inflammation of your digestive tract, leading to abdominal pain, diarrhea, fatigue, weight loss and malnutrition.
  • Ulcerative colitis – A condition that causes irritation and swelling of the small intestine that can lead to the development of sores called ulcers.
  • Colon cancer – A type of cancer where tiny growths called polyps develop in the colon or rectum over time and eventually become cancerous.

Depending on the issue and the severity, there are a number of different types of colectomy procedures, such as:

  • Total colectomy–The removal of the entire colon
  • Partial colectomy (or subtotal colectomy) – The removal of part of the colon
  • Hemicolectomy- The removal of the right or left portion of the colon
  • Proctocolectomy– The removal of both the colon and rectum

Traditionally, patients with any of these conditions needing a colectomy would have open surgery. These procedures require doctors to make a long incision in the wall of the abdomen so they can see the colon directly.

Thankfully, Flushing Hospital offers patients a much more minimally invasive option. Through the acquisition of the da Vinci surgical platform, patients can now have colectomy procedures performed robotically.

During robot-assisted procedures, Flushing Hospital’s expert team of surgeons can guide the state-of-the-art da Vinci robot to make the smallest of incisions, resulting in less pain, minimal scarring, and faster recovery time.

If you are experiencing any form of irritable bowel disease that may require surgical intervention, please call Flushing Hospital’s Division of Robotic Surgery at 718-670- 3135 to learn how we can help.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.