Dietary intake after pancreatectomy

Abstract

Abstract Background Nutritional intake after pancreatectomy may be impaired. The extent of the problem and the effect on intake of specific nutrients is unknown. Methods A 1-week weighed dietary food intake (using digital scales and a food diary) was studied in 15 patients, a median of 4 (range 1–30) months after pancreatectomy. Results were expressed as a percentage of estimated average requirement (EAR), reference nutrient intake (RNI) or lower RNI (LRNI) values. Results The median energy intake was 1914 (range 1154–2804) kcal/day, representing a median of 88 (56–154) per cent of EAR. Fat intake was low (72 (60–123) g/day); protein intake was adequate (139 (99–219) per cent of RNI). Deficiencies were observed in the intake of vitamin D (17 (6–56) per cent of LRNI) and, in some patients, selenium (107 (19–203) per cent of LRNI). Conclusion Nutritional intake in the months after pancreatectomy could be improved by increasing fat intake (with enzyme supplements as appropriate). This 7-day study also suggests that these patients may require vitamin D and possibly selenium supplementation.