DÄ internationalArchive41/2013Protecting Organs Through Dietary Adjustments
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The article references dietary treatment for chronic pancreatitis only in passing. The authors suggest cutting out alcohol and stopping smoking. It is certainly difficult to convince patients to comply with these recommendations, but this will not suffice in preventing or treating chronic pancreatitis.

In gastritis or ulcers, eradication of Helicobacter has successfully resulted in cure without a change in diet. In chronic pancreatitis, patients should protect their organs by means of dietary adjustments. In his book, “Klinik der Gegenwart”, Professor Dr Ulrich Ritter introduces a diet sheet for the treatment of chronic pancreatitis, which aims to prevent or treat chronic pancreatitis in primary care by means of a special diet after hospital treatment (1).

Controlling fat intake is important, and beverages containing CO2 and ice-cold drinks should be avoided. The same goes for ground bean coffee, as the roasting byproducts stimulate the digestive organs whether the coffee contains caffeine or not.

Hydrogenated fats should also be avoided. Such fats (for example, margarine) are produced industrially from plant oils. Hydrogenated fats require notably more bile to emulsify and more lipase for their breakdown than butter. Industrially produced baked goods and pastries are produced by using hydrogenated fats unless otherwise stated. Such goods are cheaper than baked goods made with butter and also have a longer lifespan (use-by date). The processing companies should be instructed to report whether their products contain hydrogenated fats.

In pancreatic failure, pancreatic enzyme is recommended. In order to protect the pancreas, proton pump inhibitors can be given on a temporary basis.

DOI: 10.3238/arztebl.2013.0686b

Dr. med Otto Kuhnle

Schwäbisch Gmünd

otto.kuhnle@gmx.de

Conflict of interest statement

The author declares that no conflict of interest exists.

1.
Ritter U: Krankheiten der Bauchspeicheldrüse. In: Bock H (eds).: Klinik der Gegenwart, München: Urban & Schwarzenberg 1981, 75–114.
2.
Mayerle J, Hoffmeister A, Witt H, Lerch MM, Mössner J: Chronic pancreatitis—definition, etiology, investigation and treatment. Dtsch Arztebl Int 2013; 110(22): 387–93 VOLLTEXT
1.Ritter U: Krankheiten der Bauchspeicheldrüse. In: Bock H (eds).: Klinik der Gegenwart, München: Urban & Schwarzenberg 1981, 75–114.
2.Mayerle J, Hoffmeister A, Witt H, Lerch MM, Mössner J: Chronic pancreatitis—definition, etiology, investigation and treatment. Dtsch Arztebl Int 2013; 110(22): 387–93 VOLLTEXT

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