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During the surgical procedure, the entire pancreas is removed. Islet cells from the pancreas are then isolated, purified, and infused into the liver via the portal vein. Successful TPIAT relieves pain for a majority of patients but is not without obstacles, specifically gastrointestinal, exocrine, and endocrine challenges. The postoperative phase can be complicated by gastrointestinal symptoms causing patients to have difficulty regaining adequate oral intake. Enteral nutrition is frequently provided as a bridge to oral diet. Patients undergoing TPIAT must be monitored for macronutrient and micronutrient deficiencies following the procedure. Exocrine insufficiency must be treated lifelong with pancreatic enzyme replacement therapy. Endocrine function must be monitored and exogenous insulin provided in the postoperative phase; however, a majority of patients undergoing TPIAT require little or no long\u2010term insulin. Although TPIAT can be a successful option for patients with chronic pancreatitis, nutrition\u2010related concerns must be addressed for optimal recovery.<\/jats:p>","DOI":"10.1002\/ncp.11106","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T03:27:31Z","timestamp":1705030051000},"page":"86-99","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Nutrition challenges following total pancreatectomy with islet autotransplantation"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0008-0576","authenticated-orcid":false,"given":"Jeanette M.","family":"Hasse","sequence":"first","affiliation":[{"name":"Baylor Annette C. and Harold C. 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