Chapter 24: Pancreatic and Bile Duct Ca

Question 1

Endocrine cells of the pancreas produce which hormones

Answer 1

insulin and glucagon

Question 2

Exocrine cells of pancreas produce

Answer 2

pancreatic secretions (bicarbonate and digestive enzymes (lipase, amylase, protease))

Question 3

Vitamins commonly needed

Answer 3

B12 (inadequate amount of protease created to cleave B12 from carrier protein)
ADEK (water miscible forms)
Zinc (if diarrhea or altered taste 25-100 mg elemental zinc daily - short term)

Question 4

What is malabsorption attributed to

Answer 4

inadequate bile salts (biliary obstruction can lead to wt loss even if exocrine activity is sufficient)- to fix low fat diet and avoid gas forming foods

Question 5

What other nutrition related complications could arise from pancreatic cancer

Answer 5

diabetes, ascites, small bowel obstruction, gastric outlet or duodenal obstruction