Can a patient with a pancreatic (pancreas) axios (axial) stent connecting the stomach eat sausage?

From the Guidelines

Patients with a pancreatic axios stent connecting the stomach should avoid eating sausage due to its high fat content, which can stimulate pancreatic enzyme secretion and potentially cause discomfort or complications with the stent. When considering the best course of action for a patient with a pancreatic axios stent, it's essential to prioritize their morbidity, mortality, and quality of life. According to the ESPEN guidelines on enteral nutrition: pancreas 1, a reduced fat diet (0.5 g/kgBW/day) can help achieve partial symptom control. The key principles of nutrition therapy in chronic pancreatitis include reduction in steatorrhoea and adequate intake of energy, which can be achieved with a diet rich in carbohydrates and protein, and low in fat and fibre. Some important considerations for these patients include:

• A protein intake of 1.0–1.5 g/kg is sufficient and well tolerated 1
• 30% of calories can initially be given as fat, which is well tolerated, especially in the case of vegetable fat 1
• Medium chain triglycerides (MCT) can be administered if adequate weight gain cannot be achieved and steatorrhoea is persistent 1
• Fat-soluble vitamins (vitamin A, D, E, K) as well as other micronutrients should be supplemented if clinical deficit is apparent 1 It's crucial for patients to follow a personalized diet plan, as recommended by their gastroenterologist, to minimize potential complications and ensure optimal recovery and quality of life.

From the Research

Stent Functionality and Patient Diet

• The AXIOS stent is designed to create an anastomotic connection between two lumens, facilitating bypass of blockages and strictures as well as drainage of large fluid collections 2.
• There is no direct evidence in the provided studies that discusses the dietary restrictions or recommendations for a patient with a pancreatic axial stent connecting the stomach.
• However, the studies suggest that AXIOS stents are used for draining pancreatic fluid collections and can be used to provide symptomatic relief and targeted treatment for various conditions 2, 3.

Stent Migration and Complications

• Stent migration is a recognized complication of stent placement, and it can occur despite the specific design of the AXIOS stent to prevent this 4, 5.
• The migration of the stent can be managed conservatively, and in some cases, the stent can pass through the bowel motions without issue 4.
• Other complications of AXIOS stents can include bleeding, perforation, and stent embedment in the gastric wall 3.

Bacterial Colonization and Stent Duration

• Bacterial colonization of pancreatic stents is common and related to the duration of the stent in situ 6.
• The risk of bacterial colonization increases with the length of time the stent is left in place, and it is recommended that stents should not be left in situ for more than 7 to 10 days 6.

Dietary Considerations

• There is no specific information in the provided studies about the dietary recommendations for a patient with a pancreatic axial stent connecting the stomach, including whether they can eat sausage.
• However, it is generally recommended that patients with gastrointestinal stents follow a diet that is easy to digest and avoids foods that can cause blockages or irritate the stomach.