• Medicine · Aug 2022

    Case Reports

    Individualized pharmaceutical care for a patient after pancreaticoduodenectomy with trypsin replacement nutritional therapy: A case report.

    • Song Zhang, Qin Tan, and Hanjun He.
    • The First People's Hospital of Guangyuan, Guangyuan, China.
    • Medicine (Baltimore). 2022 Aug 26; 101 (34): e30209.

    RationaleOptimal nutritional therapy for pancreaticoduodenectomy (PD) has been debated; however, little is known about key points of pancreatin enteric-coated capsule administration, a critical component of the PD treatment regimen. Patients often report elevations in tablet platoon and steatorrhea, and steatorrhea may adversely affect nutritional therapy for PD. Herein, we report a case of individualized pharmaceutical care for a patient after PD with trypsin replacement nutritional therapy.Patient Concerns And DiagnosisAfter PD with trypsin replacement nutritional therapy, the patient developed acute steatorrhea.InterventionIndividualized pharmaceutical care was provided by clinical pharmacists to address intolerance to pancreatin enteric-coated capsules following PD.OutcomesThe clinical pharmacist's integration into the patient's treatment plan enhanced pharmacotherapy optimization, especially through pharmacokinetic monitoring and interventions related to nutritional therapy.LessonPharmaceutical care by clinical pharmacists aids in ensuring the safety and efficacy of drugs and nutritional treatment. Clinical pharmacists should be members of the nutrition support team.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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