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Vol. 15, Art. 51 (pp. 639-648)    |    2014       

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Algorithm for nutritional support of patients pancreatoduodenectomy

1Saint-Petersburg I.I. Dzhanelidze research institute of emergency medicine. Saint-Petersburg, 192242, Budapest str., 3, tel. (812) 774-86-75, e-mail: info@emergency.spb.ru
2Military Medical Academy, St. Petersburg, 194044, Academician Lebedev str. 6,
e-mail: vmeda-na@mil.ru
3North-Western State Medical University named after I.I.Meshnikov.191015, Kirochnay str., tel. (812) 303-50-00, e-mail: rectorat@szgmu.ru

Brief summary

High level of postoperative complications after pancreatoduodenectomy force us to seek ways to improve the results of treatment of these patients. The proposed technique allows for early enteral nutrition patients after pancreatoduodenectomy given initial nutritional status. The result of applying this technique in the complex perioperative management of patients undergoing pancreatoduodenectomy is to improve the nutritional status indicators, reducing the number of postoperative complications, mortality and time of hospital stay.


Key words

pancreaticoduodenectomy, protein-energy malnutrition, enteral therapy, nutrition care, postoperative period.

Reference list

1. Babkov, O.V. Rannyaya enteralnaya terapiya i nytricionnaya podderjka v posleoperacionnom periode pri oslojnennom kolorektalnom rake: avtoref. dis. … kand. med. nayk / O.V. Babkov. - SPb., 2011. – 21s.


2. Zabejinskii, D.A. Kombinirovannoe lechenie bolnih rezektabelnim rakom podjelydochnoi jelezi: avtoref. dis. … kand. med. nayk /D.A. Zabejinskii. - M., 2009. – 29s.


3. Zaharova, E.V. Effektivnost rannei enteralnoi terapii i nytricionnoi podderjki y bolnih ostrim destryktivnim pankreatitom: avtoref. dis. … kand. med. nayk / E.V. Zaharova. – SPb., 2008. – 23s.


4. Kybishkin, V.A. Rak podjelydochnoi jelezi / V.A. Kybishkin, V.A. Vishnevskii. - M.: Medpraktika, 2003. - 386s.


5. Lyadov, V.K. Prognosticheskie faktori pri rezektabelnom rake podjelydochnoi jelezi / V.K. Lyadov, I. Lyor, O. Andren-Sandberg. - M.: Medpraktika, 2010. – 158s.


6. Udin, A.B. Rannyaya enteralnaya terapiya kak element patogeneticheskogo lecheniya bolnih operirovannih po povody ostroi spaechnoi tonkokishechnoi neprohodimosti: avtoref. dis. … kand. med. nayk / A.B. Udin. – SPb., 2008. – 19 s.


7. Andrén-Sandberg, A. Prognostic Factors in Pancreatic Cancer / A. Andrén-Sandberg // N. Am. J. Med. Sci. - 2012. V. 4. N1. R. 9–12.


8. Frymerman, A.S. Impact of postoperative pancreatic fistula on surgical outcome – the need for classification –driven risk management / A.S. Frymerman, J. Schuld, P. Ziehen // J.G. Surg - 2010; 14: 711-718.


9. Ionescu, M. The value of resection in pancreatic cancer: the analysis of an experience of 180 patients in 10 years / M. Ionescu, S. Stroescu // Chirurgia. - 2004. 99 (4). R. 211-220.


10. Kompan, L. Effect of early enteral nutrition on intestinal permeability and the development of multiple organ failure after mu1tiple injury / L. Kompan, V. Kremzar, E. Gadzijev // Intensive Care Med. - 1999. - Vol. 25, №2. – R.157 - 161.


11. Langenhoff, B.S. Quality of life as an outcome measure in surgical oncology / B.S. Langenhoff, P.F. Krabbe, T. Wobbes // Brit. J. Surg. – 2001. – Vol. 88, № 5. – R. 643-652.


12. Lai, E.S. Measures to prevent pancreatic fistula after pancreatoduodenectomy: a comprehensive review / E.S. Lai, S.H. Lau, W.Y. Lau // Arch. Surg. - 2009; 144 (11): 1074-1080.


13. Minard, G. Early versus delayed feeding with an immune-enehancing diet in patients with severe head injuries / G. Minard, K.A. Kudsk, S. Molton // JPEN. - 2000. - ­Vol.24, №3– R.145 -149.


14. Paye, F. The pancreatic stump after pancreatoduodenectomy: The “Achille heel” revisited // J. Visc. Surg. - 2010; 147: 13-20.


15. Pupelis, G. Jejunal feeding, even when instituted late, improve outcome in patients with severe ransreatitis and peritonitis / G. Pupelis, G. Selga, E. Austrums // Nutrition. - 2001. - Vol.17, №2.–R.9l - 94.


16. Tisdale, M.J. Cachexia in cancer patients / M.J. Tisdale // Nat. Rev. Cancer.–2002.– Vol.2, №11.–R.862–871.


17. Winter, J.M. 1423 pancreaticoduodenectomies for pancreatic cancer: a single institution experience / J.M. Winter, J.L. Camerron, K.A. Campbell // J. Gastrointest. Surg. - 2006; 10 (9): 1199-1211.

Журнал основан 16 ноября 2000г.
Выдано Министерством РФ по делам печати, телерадиовещания и средств массовых коммуникаций

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