Pancreatic Enzyme Replacement Therapy in Exocrine Pancreatic Insufficiency

online learning

The webinar will provide RDNs with an overview of EPI, key counseling messages, practical guidelines on dosing PERT, and an update on PERT formulations.

  • SKU LOPER0913
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This webinar took place September 13, 2018

Exocrine pancreatic insufficiency inhibits an individual's ability to properly digest food leading to malabsorption of macro- and micronutrients. EPI is associated with certain diagnoses including cystic fibrosis, chronic pancreatitis, and pancreatic cancer. Pancreatic enzyme replacement therapy is a common treatment for EPI. Successful management of EPI with PERT requires an understanding of digestion and absorption, as well as diet composition.

The Registered dietitian nutritionist can be an important resource in equipping a patient or caretaker with the tools needed to effectively manage EPI with PERT. The webinar will provide RDNs with an overview of EPI, key counseling messages, practical guidelines on dosing PERT, and an update on PERT formulations.

CPEU: 1.0

Learning Objectives

  1. Define exocrine pancreatic insufficiency and associated symptoms.
  2. Identify the role of the RDN in exocrine pancreatic insufficiency management.
  3. Demonstrate ability to calculate pancreatic enzyme replacement therapy dose and assess for adequacy.


Zachari Breeding, MS, RDN, LDN, FAND

Breeding is a registered, licensed dietitian and professional chef in Philadelphia. He is the owner and executive chef for The Sage: Nutritious Solutions, a personalized nutrition and off-site catering company. He holds lectures nationwide, both at the University and corporate levels, on a wide array of nutrition-related topics. Breeding holds experience as the vice-chair of the Committee of Lifelong Learning, chair of the Cystic Fibrosis Nutrition sub-unit of the Medical Nutrition Practice dietetic practice group, and former chair of the Latinos and Hispanics in Dietetics and Nutrition member interest group. He is also a contributing author to Food and Nutrition Magazine and the Stone Soup blog.


Michelle Reed, MS, RD, CSP, LDN

Reed is a pediatric dietitian at Nemours Alfred I duPont Hospital for Children where she has been working with the cystic fibrosis population for over five years. As part of the interdisciplinary cystic fibrosis care team, Reed has received recognition for her contributions to exceptional patient care. In 2016 the team was honored by the Cystic Fibrosis Foundation with the Quality Care Award. In her role with the cystic fibrosis team, Reed has contributed to multiple posters presented at the North American Cystic Fibrosis Conference and regularly provides education to inpatient nursing staff, as well as guest lecturing at her alma mater University of Delaware.

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  • SKU LOPER0913