Digestive and nutritional consequences of pancreatic resections. The classical vs the pylorus-sparing procedure.
Digestive and nutritional alterations are a common occurrence after pancreatic resections. The authors report the results of a multiparametric evaluation performed in a group of 26 patients submitted to total or cephalic pancreatectomy. Patients were divided into two groups according to the surgical procedure; group A (n = 13) included gastroresected patients and group B (n = 13) included those submitted to pylorus-sparing pancreatic resection. Subclinical digestive and absorptive impairment has been found in 61.5% of group A patients; the nutritional status was clinically poor in four cases from the same group. Digestive alterations have also been found in 69.2% of group B cases, but nutritional status was always satisfactory in the whole group. The more positive results obtained with the pylorus-sparing technique encourage wider adoption of this procedure.
Crucitti
F
F
Department of Surgery, Catholic University School of Medicine, Rome, Italy.
Doglietto
G
G
Bellantone
R
R
Miggiano
G A
GA
Frontera
D
D
Ferrante
A M
AM
Castelli
A
A
D000328:Adult; D000368:Aged; D015992:Body Mass Index; D005260:Female; D006801:Humans; D008286:Malabsorption Syndromes / Q000378:metabolism*; D008297:Male; D008875:Middle Aged; D009748:Nutrition Disorders / Q000378:metabolism*; D009752:Nutritional Status / Q000502:physiology*; D010180:Pancreatectomy / Q000009:adverse effects* / Q000379:methods; D010190:Pancreatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies