Early feeding after laparoscopic assisted pancreatico-duodenectomy with pancreatico-gastric anastomosis

Laparoscopic assisted pancreatico-duodenectomy (LAPD) reduces morbidity of open surgery. Enhanced recovery protocols has shown benefits from oral feeding from first post operative day. The study was done to evaluate out come with early oral feeding in patients undergoing LAPD and pancreatico-gastrostomy. Method: Twenty two patients undergoing LAPD and pancreatico-gastrostomy were evaluated for out come after starting early oral feeding. Results: In 22 patients studied 86% tolerated feeding from the first post operative day and the rest were fed by the third day. In 77% IV fluids were omitted by the fifth day. One patient had a prolonged drain output which settled after three weeks. One patient got readmitted after two weeks with a gastric bleed, underwent laparotomy, but died in the ICU with multi organ failure. Conclusions: Early feeding was well tolerated after LAPD and pancreatico-gastrostomy.