Management of nutritional issues after major pancreatic resections

Nam Q. Nguyen, Neil D. Merrett, Andrew V. Biankin

    Research output: Chapter in Book / Conference PaperChapter

    Abstract

    ![CDATA[Pancreatic resection is associated with a number of long term gastrointestinal complications that can lead to malnutrition and a consequent reduction ijh the quality of life. These are predominantly the manifestation of exocrine and endocrine insufficiency, gastrointestinal dysmotility, biliary dysfunction and bacterial overgrowth. Such sequelae can lead to reduced oral intake, macro- and micronutrient malabsorption, and impaired glucose homeostasis, which adversely impact on the patient’s well-being. In order to minimise these complications after major pancreatic resection, it is imperative to identify these deficiencies and closely monitor the patient’s energy consumption, symptoms and nutritional status. The management needs to be coordinated using a multi-disciplinary approach and in each case treatment individualised and based on an understanding of the anatomical, physiological and nutritional sequelae caused by the loss of pancreatic parenchyma through surgical resection.]]
    Original languageEnglish
    Title of host publicationWhen Cancer Crosses Disciplines : a Physician's Handbook
    EditorsMonica Robotin, Ian Olver, Afaf Girgis
    Place of PublicationU.K.
    PublisherImperial College Press
    Pages487-506
    Number of pages20
    ISBN (Print)9781848163645
    Publication statusPublished - 2010

    Keywords

    • pancreatectomy
    • nutrition

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