Abstract
Early feeding after laparoscopic assisted pancreatico-duodenectomy with pancreatico-gastric anastomosis
Highlights
Laparoscopic assisted pancreatico-duodenectomy (LAPD) reduces morbidity of open surgery
The pancreatic anastomosis may be to jejunum or the stomach
None were started on total parenteral nutrition
Summary
Laparoscopic assisted pancreatico-duodenectomy (LAPD) reduces morbidity of open surgery. Enhanced recovery protocols has shown benefits from oral feeding from first post operative day. The study was done to evaluate out come with early oral feeding in patients undergoing LAPD and pancreatico-gastrostomy. Method: Twenty two patients undergoing LAPD and pancreatico-gastrostomy were evaluated for out come after starting early oral feeding. Results: In 22 patients studied 86% tolerated feeding from the first post operative day and the rest were fed by the third day. Laparoscopic assisted pancreatico-duodenectomy (LAPD) will minimize post-operative complications, which allow early discharge from hospital [1,2,3,4,5,6]. With enhanced recovery protocols oral feeding from first post operative day one has shown benefits in many studies [10,11]. There is a need for further studies [10]
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