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Preoperative Nutritional Status, Postoperative Nutritional Support, and Clinical Outcome Following Pancreatic Surgery

  • Sebastian Haller
  • Pascal Probst
  • Phillip Knebel
Chapter

Abstract

Nutritional status and perioperative nutritional support have been shown to affect outcome after surgery. There are a multitude of different methods to assess a patient’s preoperative nutritional status, for example, biological measurements as well as clinical assessment scores. Only limited evidence exists on nutritional status and postoperative outcome after pancreatic surgery. Currently there is no gold standard for preoperative nutritional assessment, but recent studies indicate that measurements obtained via cross-sectional imaging are the most promising approach. For postoperative nutritional support after pancreatic surgery, different guidelines exist. Since evidence is insufficient, surgeons should base their treatment on patient-individual needs and their clinical experience. Also described in this chapter is the clinical pathway for patients undergoing pancreatic procedures at the University Hospital of Heidelberg.

Keywords

Nutritional assessment Malnutrition Postoperative outcome Pancreatic surgery Pancreaticoduodenectomy Nutritional support 

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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Sebastian Haller
    • 1
  • Pascal Probst
    • 1
  • Phillip Knebel
    • 1
  1. 1.Department of General, Visceral and Transplantation SurgeryUniversity of HeidelbergHeidelbergGermany

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