NUTRITION FOR PANCREATIC SURGERY
Keywords:
malnutrition, cachexia, TNF
Abstract
The American novelist Leo Rosten (1908-1997) once said: “Some things are so unexpected that no one is prepared for them”. This statement probably epitomizes what pancreatic cancer is. This highly aggressive malignancy is characterized by early malnutrition, cachexia, and early metastasis. With no reliable method for early detection when carcinoma pancreas is usually diagnosed, it has already advanced and less than 20 % of patients are candidates for surgery. Patients affected with pancreatic cancer have a dismal survival (1- and 5-year relative survival rates are 29% and 7%, respectively).
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References
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Clin Nutr 2011;30:708-13.
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26.Braga M, Pecorelli N, Ariotti R, et al. Enhanced Recovery After Surgery Pathway in Patients Undergoing Pancreaticoduodenectomy. World J Surg 2014;38:2960-6.
27.Lassen K, Kjaeve J, Fetveit T, et al. Allowing normal food at will after major upper gastrointestinal surgery does not increase morbidity a randomized multicenter trial. AnnSurg 2008; 247:721-9
2.Corbetta S, Peracchi M, Cappiello V, Lana , Lauri E, Vago L, and Beck-Peccoz P, Spada A: Circulating ghrelin levels in patients with pancreatic and gastrointestinal neuroendocrine tumors: identification of one pancreatic ghrelinoma. J Clin Endocrinol Metab 88: 3117-3120, 200.
3.Ezeoke CC, Morley JE. Pathophysiology of anorexia in the cancer cachexia syndrome. J Cachexia Sarcopenia Muscle. 2015; 6: 287-302.
4. Andersson R, Ch D, Leveau P, Haraldsen P. Nutritional aspects in the management of pancreatic cancer. Annals of Gastroenterology.2007; 13.
5. Tan CR, Yaffee PM, Jamil LH, Lo SK, Nissen N, Pandol SJ, et al. Pancreatic cancer cache
6.Shimizu Y, Nagaya N, Isobe T, Imazu M, Okumura H, Hosoda H, Kujima M,Kang awa K, Kehno N: Increased plasma ghrelin level in lung cancer cachexia.Clin Cancer Res 9: 774-778, 2003.
7.Wakahara T, Shiraki M, MuraseK, et al. Nutritional screening with Subjective Global Assessment predicts hospital stay in patients with digestive diseases. Nutrition. 2007;23:634-639.
8.Sierzega M, Niekowal B, Kulig J, et al. Nutritional status affects the rate of pancreatic fistula after distal pancreatectomy: a multivariate analysis of 132 patients. JAm CollSurg 2007;205:52-9.
9.Schnelldorfer T, Mauldin PD, Lewin DN, et al. Distal pancreatectomy for chronic pancreatitis: risk factors for postoperative pancreatic fistula. J GastrointestSurg2007;11:991-7.
10.Kanda, M.; Fujii, T.; Kodera, Y.; Nagai, S.; Takeda, S.; Nakao, A. Nutritional predictors of postoperative outcome in pancreatic cancer. Br. J. Surg. 2011, 98,
268–274.
11.La Torre M, Ziparo V, Nigri G, et al. Malnutrition and Pancreatic Surgery: Prevalence and Outcomes. J Surg Oncol 2013;107:702-8.
12. Wu GH, Liu ZH, Wu ZH, et al. Perioperative artificial nutrition in malnourished gastrointestinal cancer patients. World J Gastroenterol 2006;12:2441-4.
13.Ward-Boahen D, Wallace-Kazer M. Improving Surgical Outcomes in Pancreatic Surgery With Preoperative Nutrition. Journal of the Advanced Practitioner in Oncology. 2014;5(2):100-106.
14.Senkal M, Zumtobel V, Bauer K H, Marpe B, Wolfram G, Frei A, Eickhoff U, Kemen M. Outcome and costeffectiveness of perioperative enteral immunonutrition in patients undergoing elective upper gastrointestinal tract surgery: a prospective randomized study. Archives of surgery (Chicago, Ill. : 1960)1999;134:1309–1316.
15. Waitzberg Dan L, Saito Hideaki, Plank Lindsay D, Jamieson Glyn G, JagannathPalepu, Hwang Tsann-Long, Mijares Juan M, Bihari David. Postsurgical infections are reduced with specialized nutrition support. World journal of surgery. 2006;30:1592–1604.
16.Karagianni, V.T.; Papalois, A.E.; Triantafillidis, J.K. Nutritional status and nutritional support before and after pancreatectomy for pancreatic cancer and chronic pancreatitis. Indian J. Surg. Oncol. 2012, 3, 348–359.
17.Bozetti et al, perioperative total pareneteralnutrtion in malnourished gastrointestinal cancer patients: a randomized, clinical trial. jpenvol 24,issue 1,pp.7-14
18.Gianotti L, Braga M, Gentilini O, Balzano G, Zerbi A, Di Carlo V (2000) Artificial nutrition after pancreaticoduodenectomy. Pancreas 21: 344–351.
19.Giger U, Büchler M, Farhadi J, Berger D, Hüsler J, Schneider H, Krähenbühl S, Krähenbühl L (2007) Preoperative immunonutrition suppresses perioperative inflammatory response in patients with major abdominal surgery-a randomized controlled pilot study. Ann Surg Oncol 14:2798–2806
20.Xue H, Sawyer MB, Wischmeyer PE, Baracos VE (2011) Nutrition modulation of gastrointestinal toxicity related to cancer chemotherapy: from preclinical
findings to clinical strategy. JPEN J Parenter Enteral Nutr 35:74–90
21. Barber MD, Ross JA, Voss AC, Tisdale MJ, Fearon KC (1999)The effect of an oral nutritional supplement enriched with fish oil on weight-loss in patients
with pancreatic cancer. Br J Cancer81:80–86
22.Klek S, Sierzega M, Szybinski P, et al. Perioperative nutrition in malnourished surgical cancer patients- a prospective randomized, controlled, clinical trial.
Clin Nutr 2011;30:708-13.
23.Gerritsen A, Besselink MGH, Gouma DJ, et al. Systematic review of five feeding routes after pancreatoduodenectomy.Br J Surg 2013;100:589-98; discussion 599.
24.Nussbaum, D.P.; Zani, S.; Penne, K.; Speicher, P.J.; Stinnett, S.S.; Clary,B.M.; White, R.R.; Tyler, D.S.; Blazer III, D.G. Feeding Jejunostomy Tube Placement in Patients Undergoing Pancreaticoduodenectomy: An Ongoing Dilemma. J. Gastrointest. Surg. 2014, 18, 1752–1759.
25.Perineal, J.; Mariette, C.; Dousset, B.; Sielezneff, I.; Gainant, A.; Marbut, J.Y.; Bin-Dorel, S.; Bechwaty, M.E.; Delaunay, D.; Bernard, L.; et al. Early Enteral Versus Total Parenteral Nutrition in Patients Undergoing Pancreaticoduodenectomy: A Randomized Multicenter Controlled Trial (Nutri-DPC). Ann. Surg. 2016, 264,731–737.
26.Braga M, Pecorelli N, Ariotti R, et al. Enhanced Recovery After Surgery Pathway in Patients Undergoing Pancreaticoduodenectomy. World J Surg 2014;38:2960-6.
27.Lassen K, Kjaeve J, Fetveit T, et al. Allowing normal food at will after major upper gastrointestinal surgery does not increase morbidity a randomized multicenter trial. AnnSurg 2008; 247:721-9
How to Cite
1.
Sanjith Saseedharan, Anant Patil. NUTRITION FOR PANCREATIC SURGERY. Med. res. chronicles [Internet]. 2018Oct.31 [cited 2024Nov.19];5(5):372-7. Available from: https://medrech.com/index.php/medrech/article/view/332
Section
Review Article
