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1Less common etiologies of exocrine pancreatic insufficiency显示文摘Exocrine pancreatic insufficiency(EPI), an important cause of maldigestion and malabsorption, results from primary pancreatic diseases or secondarily impaired exocrine pancreatic function. Besides cystic fibrosis and chronic pancreatitis, the most common etiologies of EPI, other causes of EPI include unresectable pancreatic cancer, metabolic diseases(diabetes); impaired hormonal stimulation of exocrine pancreatic secretion by cholecystokinin(CCK); celiac or inflammatory bowel disease(IBD) due to loss of intestinal brush border proteins; and gastrointestinal surgery(asynchrony between motor and secretory functions, impaired enteropancreatic feedback, and inadequate mixing of pancreatic secretions with food). This paper reviews such conditions that have less straightforward associations with EPI and examines the role of pancreatic enzyme replacement therapy(PERT). Relevant literature was identified by database searches. Most patients with inoperable pancreatic cancer develop EPI(66%-92%). EPI occurs in patients with type 1(26%-57%) or type 2 diabetes(20%-36%) and is typically mild to moderate; by definition, all patients with type 3 c(pancreatogenic) diabetes have EPI. EPI occurs in untreated celiac disease(4%-80%), but typically resolves on a gluten-free diet. EPI manifests in patients with IBD(14%-74%) and up to 100% of gastrointestinal surgery patients(47%-100%; dependent on surgical site). With the paucity of published studies on PERT use for these conditions, recommendations for or against PERT use remain ambiguous. The authors conclude that there is an urgent need to conduct robust clinical studies to understand the validity and nature of associations between EPI and medical conditions beyond those with proven mechanisms, and examine the potential role for PERT.Vikesh K Singh Mark E Haupt David E Geller Jerry A Hall Pedro M Quintana Diez 2017World Journal of Gastroenterology2017,23,39:5
2The effect of combination treatment with acarbose and glibenclamide on post glucose and insuin profiles: Additive glucose lowering effect and decreased hypoglycaemia显示文摘Rosak C Haupt E Walter J 2002Diabetes Nutr Metab2002,15,3:1
3A new effect of dy- namic polarization in a solid obtained by rapid change oftemperaturefJ显示文摘Yilxnaz E Haupt K Mosbaeh K 2000Physics Letters A2000,39,:1
4The effect of combination treatment with acarbose and glibenclamide on postprandial glucose and insulin profiles:additive blood glucose lowering effect and decreased hypoglycemia显示文摘Rosak C Haupt E Walter T 2002Diabetes Nutr Metab2002,15,3:1
5Structural characterisation of hurnic acid-bound PAH residues in soil by 13C-CPMAS-NMR-spectroscopy:evidence of covalent bonds显示文摘Kacker T Haupt E Garms C Francke W Steinhart H 2002Chemosphere2002,48,1:1
6Guidelines on critical care services and personnel:recommendations based on a system of categorization of three levels of care显示文摘Haupt M T Bekes C E Brilli R J 2003Crit Care Med2003,31,11:1
7Probing the Recognition Specificity of a Protein Molecularly Imprinted Polymer Using Force Spectroscopy 显示文摘Kirat K E Bartkowski M Haupt K 2009Biosens Bioelectron2009,24,8:1
8Development of a recombinant truncated nucleocapsid protein based immunoas- say for detection of antibodies against human coronavirus OC43显示文摘Blanchard E G Miao C Haupt T E et at 2011J Virol Methods2011,177,1:1
9Influence of functional and cross-linking monomers and the amount of template on the performance of molecularly imprinted polymers in binding as- says显示文摘Yilmaz E Mosbach K Haupt K 1999Anal Commun1999,36,5:1
10Validation of a receptor-dispersion model coupled with a genetic algorithm using synthetic data显示文摘Haupt S E Young G S Allen G T 2006Journal of Applied Meteorology and Climatology2006,45,3:1
11Improving pollutant source characterization by better estimating wind direction with a genetic algorithm显示文摘Allen C T Young G S Haupt S E 2007Atmospheric Environment2007,41,11:1
12The effect of combination treatment with acarbose and glibenclamide on postprandial glucose and insulin profiles:additive blood glucose lowering effect and decreased hypoglycaemia显示文摘Rosak C Haupt E Walter T 0,,03:1
13Fluid loading increases oxygen consumption in septic patients with lactic acidosis显示文摘Haupt M T Gilbert E M Carlson R W 1985Am Rev Respir Dis1985,131,:1
14The effect of combination treatment with aearbose and glibenelamide on post glucose and insuin profiles: additive glucose lowering effect and decreased hypoglyeaemia 显示文摘Rosak C Haupt E Walter J 2002Diabetes Nutr Metab2002,15,3:1
15Relationship between age at time of cataract extraction and time interval before capsulotomy for opacification显示文摘Maltzman BA Haupt E Notis C 1989Ophthalmic Surg1989,20,:1
16Validation of a receptor/dispersion model coupled with a genetic algorithm using synthetic data 显示文摘Haupt S E Young G S Allen C T 2005Journal of Applied Meteorology and dimatology2005,45,:1
17On the DynamicBehaviour of Polymers under Finite Strains:Constitutive Modelling and Identification ofParameters 显示文摘Haupt P Lion A Backhaus E 2000International Journal of Solidsand Structures2000,37,26:1
18Source characterization with a genetic algorithm-coupled dispersion-backward model in corporating SCIPUFF显示文摘Allen C T Haupt S E Young G S 2007Journal of Applied Meteorology and Climatology2007,46,:1
19Relationship between age at time of cataract extraction and time interval for capsulotomy for opacification 显示文摘Maltzman BA Haupt E Notis C 1989Ophthalmic Surg1989,20,5:1
20Influence of functional and cross - linking monomers and the amount of template on the performance of molecularly imprinted polymers in binding assays显示文摘Yilmaz E Mosbach K Haupt K 1999Anal Commun1999,36,:1
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