Enteral Nutrition in Pancreaticoduodenectomy: A Literature Review

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Pancreaticoduodenectomy (PD) is considered the gold standard treatment for periampullory carcinomas. This procedure presents 30%–40% of morbidity. Patients who have undergone pancreaticoduodenectomy often present perioperative malnutrition that is worse in the early postoperative days, affects the process of healing, the intestinal barrier function and the number of postoperative complications. Few studies focus on the relation between enteral nutrition (EN) and postoperative complications. Our aim was to perform a review, including only randomized controlled trial meta-analyses or well-designed studies, of evidence regarding the correlation between EN and main complications and outcomes after pancreaticoduodenectomy, as delayed gastric emptying (DGE), postoperative pancreatic fistula (POPF), postpancreatectomy hemorrhage (PPH), length of stay and infectious complications. Several studies, especially randomized controlled trial have shown that EN does not increase the rate of DGE. EN appeared safe and tolerated for patients after PD, even if it did not reveal any advantages in terms of POPF, PPH, length of stay and infectious complications.
Original languageEnglish
Pages (from-to)3154-3165
Number of pages12
JournalNutrients
Volume7
Publication statusPublished - 2015

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Pancreaticoduodenectomy
enteral feeding
Enteral Nutrition
Pancreatic Fistula
gastric emptying
postoperative complications
fistula
Gastric Emptying
hemorrhage
Length of Stay
Randomized Controlled Trials
Hemorrhage
Malnutrition
malnutrition
gold
carcinoma
morbidity
Meta-Analysis
Morbidity
Carcinoma

All Science Journal Classification (ASJC) codes

  • Food Science
  • Nutrition and Dietetics

Cite this

Enteral Nutrition in Pancreaticoduodenectomy: A Literature Review. / Lo Monte, Attilio Ignazio; Marrazzo, Antonio; Damiano, Giuseppe; Buscemi, Salvatore; Palumbo, Vincenzo Davide; Spinelli, Gabriele; Ficarella, Silvia.

In: Nutrients, Vol. 7, 2015, p. 3154-3165.

Research output: Contribution to journalArticle

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AU - Palumbo, Vincenzo Davide

AU - Spinelli, Gabriele

AU - Ficarella, Silvia

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AB - Pancreaticoduodenectomy (PD) is considered the gold standard treatment for periampullory carcinomas. This procedure presents 30%–40% of morbidity. Patients who have undergone pancreaticoduodenectomy often present perioperative malnutrition that is worse in the early postoperative days, affects the process of healing, the intestinal barrier function and the number of postoperative complications. Few studies focus on the relation between enteral nutrition (EN) and postoperative complications. Our aim was to perform a review, including only randomized controlled trial meta-analyses or well-designed studies, of evidence regarding the correlation between EN and main complications and outcomes after pancreaticoduodenectomy, as delayed gastric emptying (DGE), postoperative pancreatic fistula (POPF), postpancreatectomy hemorrhage (PPH), length of stay and infectious complications. Several studies, especially randomized controlled trial have shown that EN does not increase the rate of DGE. EN appeared safe and tolerated for patients after PD, even if it did not reveal any advantages in terms of POPF, PPH, length of stay and infectious complications.

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