why high carb, low fat diet in chronic pancreatitis?

[mhco]

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Anyone know why high carb, low fat diet is recommended in chronic pancreatitis?

Surely both carbs and fat are bad in pancreatitis.

Thanks in advance.

 

[ortnakas]

Carbohydrate absorption occurs in enterocytes and is independent of pancreatic secretions.

Chronic pancreatitis --> pancreatic insufficiency --> fat malabsorption.

 

[DrPicard]

Carb doesn't suffer (as much) because of salivary amylase. Fat is pretty much dependent on pancreatic enzymes.

 

[chillaxbro]

Sort of related question but is carbohydrate breakdown just salivary amylase + brush border enzymes + pancreatic amylase?

 

[Kazaki]

Sort of related question but is carbohydrate breakdown just salivary amylase + brush border enzymes + pancreatic amylase?

Yeah but see pancreatic enzymes are one mechanism by which carbs are broken down. With fats, pancreatic enzymes are pretty much the only major mechanism.