| Abstract: | Introduction Exocrine pancreatic insufficiency causes digestive disturbances in humans and animals. However, although clinical symptoms of pancreatic insufficiency, e.g. steatorrhoea, only occurs after loss of 80–90% normal pancreatic secretory capacity (D i M agno et al. 1973), pancreatic enzyme supplementation does not always result in normalization of digestion (especially of fat), even with high doses of enzymes (L& ouml ; ser and F& ouml ; lsch 1995). In order to better understand the physiological and the pathological consequences of exocrine pancreatic insufficiency in humans as well as its therapy with enzyme substitution, studies have been made using an animal model of induced pancreatic exocrine insufficiency. Hither to, studies concerning pancreatic duct ligation and/or the influence of enzyme substitution have mainly been focused on estimation of enzyme activities in chyme (e.g. A bello et al. 1989) and/or on faecal analyses of total digestibility (e.g. I mmondi et al. 1972). To get more information on effects of enzymes (natural or substituted) it seems necessary to investigate the site and extent of digestion more intensively (S udendey 1995). Therefore a pig model of induced pancreatic exocrine insufficiency, via pancreatic duct ligation, was chosen and pre-caecal digestibility was measured by means of an ileo-caecal re-entrant fistula. Studies on the digestibility of a high fat diet were made, since cystic fibrosis patients with exocrine pancreatic insufficiency are recommended to take in high amounts of energy to avoid catabolic metabolism and nowadays these high energy diets comprise increasing proportions of fat (D urie and P encharz 1989; S hepherd et al. 1991). The following aspects were investigated in controls and pancreatic duct-ligated pigs that were fed a high fat diet: changes in the composition of ileal chyme and faeces; effects on nutrient digestibility (pre-caecal and total); efficacy of enzyme substitution in total exocrine pancreatic insufficiency. |
