Understanding clinical issues in postoperative nutrition after pancreaticoduodenectomy.
Postoperative nutrition support for patients undergoing pancreaticoduodenectomy (Whipple's procedure) may be complicated due to gastrointestinal tract dysfunction (gastroparesis, dumping, and malabsorption) subsequent to the procedure. Clinical management of these patients may be adversely affected by procedure-specific knowledge deficits (method of gastrointestinal [GI] reconstruction), common and expected surgical complications, and the available route for alimentation. It is the aim of this report to provide the reader with an overview of the procedure, common postoperative nutrition issues, and available interventions.
Zgodzinski
Witold
W
2nd Department of General Surgery, Skubiszewski Medical University of Lublin, Poland.
Dekoj
Thomas
T
Espat
N Joseph
NJ
D006801:Humans; D018529:Nutritional Support / Q000009:adverse effects / Q000379:methods*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects; D011182:Postoperative Care / Q000379:methods*