Fat-soluble vitamin deficiency is common in children with chronic pancreatitis undergoing total pancreatectomy with islet autotransplantation

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2 Scopus citations

Abstract

ABSTRACT: The prevalence of fat-soluble vitamin (FSV) deficiency in children undergoing total pancreatectomy with islet autotransplantation (TPIAT) for chronic pancreatitis (CP) is unknown. We quantified FSV deficiency in 100 children (age ≤18) undergoing TPIAT. FSV levels (vitamins A, E, D) and clinical history were abstracted from medical records. Vitamin A was low in 4% before and 7% at 1 year after TPIAT, vitamin E in 17% and 18%, and vitamin D in 22% and 24%, respectively, regardless of pancreatic enzyme or vitamin supplement dosing. Longer duration of CP was associated with pre-TPIAT vitamin D insufficiency (P = 0.0002). This remained significant in a multivariate regression model (adjusted P = 0.01). On multivariate analysis, there were no significant predictors of low FSV levels post-TPIAT. FSV deficiencies are common among children undergoing TPIAT and patients who have had longer disease duration may be at increased risk. All children should be monitored for FSV deficiency after TPIAT.

Original languageEnglish (US)
Pages (from-to)123-126
Number of pages4
JournalJournal of pediatric gastroenterology and nutrition
Volume72
Issue number1
DOIs
StatePublished - Jan 2021

Bibliographical note

Funding Information:
University of Minnesota Medical School, Minneapolis, MN. Address correspondence and reprint requests to Kendall R. McEachron, MD, Department of Surgery, University of Minnesota Medical School, 420 Delaware Street SE,| Minneapolis, MN 55455 (e-mail: kendallm@umn.edu). K.R.M. is supported by T32DK108733. M.D.B. is supported by R01DK109124. The authors report no conflicts of interest. Copyright © 2020 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition DOI: 10.1097/MPG.0000000000002950

Publisher Copyright:
Copyright # 2020.

Keywords

  • Exocrine pancreatic insufficiency
  • Fat-soluble vitamins
  • Pancreatectomy
  • Total pancreatectomy with islet autotransplantation
  • Avitaminosis
  • Pancreatectomy/adverse effects
  • Humans
  • Islets of Langerhans Transplantation
  • Transplantation, Autologous
  • Pancreatitis, Chronic/surgery
  • Child
  • Vitamins

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural

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