Table 2 Treatment strategies for lack of response to pancreatic enzyme replacement therapy (PERT)
From: Practical guide to exocrine pancreatic insufficiency – Breaking the myths
Treatment strategies | |
|---|---|
• Increase dosage | |
• Check compliance with the patient | |
• Add acid inhibitor | |
• Consider adding enzymes during and towards end of meal | |
• Consider microspheres, possibly adding a rapid release enzyme preparation | |
• Look for evidence of concurrent gastrointestinal disorder |