Cabrera Paula, Lofrano Julieta, Llames Lucía, Rodota Liliana
Acta Gastroenterol Latinoam. 2014 Mar;44(1):67-73.
Cephalic pancreaticoduodenectomy (CPD) is the surgical procedure of choice for curative resection of pancreatic head and periampullary tumors. Preoperative nutritional intervention is crucial for reducing postoperative complications since malnutrition can be found in patients with these tumors. This malnutrition can get even worse during the postoperative period due to fasting and subsequent treatments. Besides, the surgical procedure entails surgical resections that alter the digestive process and can have long-term negative effects on the nutritional status. An aspect infrequently assessed is the alteration of exocrine and endocrine functions after surgery, that noticeably affects both the metabolic and general status of these patients. As regards long-term nutrition, there is no consensus on how to evaluate patients who have undergone a pancreatic resection. Consequently, early nutritional intervention since diagnosis may prevent or lessen the deterioration of nutritional status resulting from the disease itself as well as from the surgery and from the long term. The alimentary and nutritional education that would help the patient gain an adequate control of his metabolism and nutrition becomes vital.
胰头十二指肠切除术（CPD）是胰头和壶腹周围肿瘤根治性切除的首选手术方式。术前营养干预对于减少术后并发症至关重要，因为这些肿瘤患者中可能存在营养不良。由于禁食及后续治疗，这种营养不良在术后会更加严重。此外，该手术需要进行手术切除，这会改变消化过程，并可能对营养状况产生长期负面影响。一个很少被评估的方面是术后外分泌和内分泌功能的改变，这会显著影响这些患者的代谢和总体状况。关于长期营养，对于如何评估接受过胰腺切除术的患者尚无共识。因此，自诊断起的早期营养干预可能预防或减轻由疾病本身、手术以及长期影响导致的营养状况恶化。有助于患者充分控制其代谢和营养的饮食及营养教育变得至关重要。
