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Digestive and nutritional consequences of pancreatic resections

The classical vs the pylorus-sparing procedure

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Summary

Digestive and nutritional alterations are a common occurrence after pancreatic resections. The authors report the results of a multiparametric evaluation performed in a group of 26 patients submitted to total or cephalic pancreatectomy. Patients were divided into two groups according to the surgical procedure; group A(n=13) included gastroresected patients and group B (n=13) included those submitted to pylorus-sparing pancreatic resection. Subclinical digestive and absorptive impairment has been found in 61.5% of group A patients; the nutritional status was clinically poor in four cases from the same group. Digestive alterations have also been found in 69.2% of group B cases, but nutritional status was always satisfactory in the whole group. The more positive results obtained with the pylorus-sparing technique encourage wider adoption of this procedure.

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Authors and Affiliations

  1. Department of Surgery, Catholic University School of Medicine, Rome, Italy

    Francesco Crucitti, Giovanbattista Doglietto, Rocco Bellantone, Domenico Frontera & Angela M. R. Ferrante

  2. Department of Biochemistry, Catholic University School of Medicine, Rome, Italy

    Giacinto A. D. Miggiano & Adriano Castelli

Authors
  1. Francesco Crucitti
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  2. Giovanbattista Doglietto
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  3. Rocco Bellantone
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  4. Giacinto A. D. Miggiano
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  5. Domenico Frontera
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  6. Angela M. R. Ferrante
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  7. Adriano Castelli
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Crucitti, F., Doglietto, G., Bellantone, R. et al. Digestive and nutritional consequences of pancreatic resections. Int J Pancreatol 17, 37–45 (1995). https://doi.org/10.1007/BF02788357

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  • DOI: https://doi.org/10.1007/BF02788357

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