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Nutrition in Clinical Practice
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*Nutritional Support
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Invited Review

Understanding Clinical Issues in Postoperative Nutrition After Pancreaticoduodenectomy

Witold Zgodzinski, MD*, Thomas Dekoj, BS{dagger} and N. Joseph Espat, MD{dagger}

* 2nd Department of General Surgery, Skubiszewski Medical University of Lublin, Lublin, Poland; and the{dagger} Department of Surgery, University of Illinois at Chicago, Chicago, Illinois

Correspondence: N. Joseph Espat, University of Illinois at Chicago, Department of Hepatobiliary Surgery MC 958, 840 South Wood Street, Room 435E, Chicago, IL 60612. Electronic mail may be sent to jespat{at}uic.edu.

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.

Nutrition in Clinical Practice, Vol. 20, No. 6, 654-661 (2005)
DOI: 10.1177/0115426505020006654
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