Pancreatic exocrine insufficiency after pancreaticoduodenectomy: Current evidence and management

Table 4 Incidence of pancreatic exocrine insufficiency after pancreaticoduodenectomy–evidence on the role of the type of pancreatic reconstruction

Ref.	Diagnostic test	Incidence of PEI–Pancreaticogastrostomy	Incidence of PEI–Pancreaticojejunostomy
Nakamura et al[9]	13C Triglyceride breath test	62.3%	-
Lemaire et al[44]	Faecal Fat excretion and faecal elastase-1	100%	-
Jang et al[51]	Faecal elastase-1	100% (severe)	75% (severe); 20% (mild)
Roeyen et al[63]	Need for PERT +/- any abnormal pancreatic function test	75%	45.7% (P < 0.001)
Rault et al[54]	Steatorrhoea	70%	21.7% (P < 0.025)

PEI: Pancreatic exocrine insufficiency; PERT: Pancreatic enzyme replacement therapy.