Clinical Pathway for Pancreatic Enzyme Replacement Therapy (PERT) in Children with or at Risk for Exocrine Pancreatic Insufficiency (EPI)
Improved consistence and frequency of stools | Sustained improvement in symptoms and nutritional parameters
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(reference charts at right adapted from the WHO Child Growth Standards July 2010 and CDC Data Tables) |
Inadequate Response to PERT
- Symptoms of malabsorption
- Poor weight gain or linear growth
- Low fat soluble vitamin levels despite proper adherence to vitamin regimen
- Abdominal pain or distention associated with eating