Homemade diet as nutritional support for a dog suffering from chronic pancreatitis and inflammatory bowel disease

A spayed Boston terrier was referred for nutritional advice after failing to respond to long-term medical and dietary treatment for chronic pancreatitis. Based on clinical appearance, consecutive bloodwork and ultrasound examination, the concomitant occurrence of inflammatory bowel disease was likely. An exclusion diet (novel protein approach) and a stepwise balancing schedule were formulated to address combined nutritional recommendations, as well as the possibility for hypersensitivity to play a role. After initiation of the exclusion diet, the patient relapsed twice. Once due to noncompliance of the owner, once due to reaction to an added supplement. After correction, no major relapses were noted for at least 1 year. To the authors' knowledge, this report is the first to describe the successful supportive care of chronic pancreatitis and concurrent inflammatory bowel disease by prescribing a homemade diet.