Abstract
Background: Pelvic exenteration (PE) surgery is complex surgery performed on patients with advanced pelvic cancers, predominantly locally advanced and recurrent rectal cancer. Postoperative paralytic ileus is often associated with this surgery and parenteral nutrition (PN) is routinely used as nutrition support (1). Intraoperative radiotherapy (IORT) is used in combination with surgery to improve oncological outcomes in advanced and recurrent colorectal cancer (2). In our unit patients are sometimes started on PN immediately after surgery in anticipation of paralytic ileus, irrespective of their pre-operative nutritional status.
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