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Nutrition and Pancreaticoduodenectomy
Author(s) -
Pappas Sam,
Krzywda Elizabeth,
Mcdowell Nadine
Publication year - 2010
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0884533610368709
Subject(s) - medicine , pancreaticoduodenectomy , pancreatic fistula , gastric emptying , whipple procedure , duodenum , general surgery , pancreatic duct , pancreatic head , pylorus , gastroenterology , resection , bile duct , common bile duct , surgery , pancreas , stomach
Pancreaticoduodenectomy (Whipple) is the surgical procedure of choice for curative resection of pancreatic head, periampullary, and distal bile duct cancers. This procedure involves removal of the pancreatic head, duodenum, distal common bile duct, and sometimes the pylorus and gastric antrum. The 2 most common complications are pancreatic fistula and delayed gastric emptying. Preoperative nutrition status has been shown to influence surgical outcomes. This technically demanding operation involves an extensive surgical resection and alters digestive processes, which can influence nutrition long term. This review article identifies the surgical and nutrition consequences associated with pancreaticoduodenectomy.