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Nutritional status and function in patients following Whipple procedure compared with controls
D Royall1, K N Jeejeebhoy, B O'Connor
1Department of Medicine, University of Toronto, Ontario, Canada.
Journal of the American College of Nutrition
|February 1, 1996
Summary
Long-term nutritional assessment after the Whipple procedure reveals no significant deficits. Patients achieve full nutritional recovery, demonstrating good health years post-surgery.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Nutritional Science
Background:
- The Whipple procedure (pancreaticoduodenectomy) can impact nutritional status.
- Long-term nutritional outcomes after this major surgery are not well-documented.
Purpose of the Study:
- To assess the long-term nutritional and functional status of patients who underwent the Whipple procedure.
- To compare these outcomes with a matched control group.
Main Methods:
- Clinical assessment using subjective global assessment.
- Body composition analysis via bioelectric impedance analysis.
- Functional assessment including respiratory muscle strength and hand-grip dynamometry.
Main Results:
- Whipple patients (studied 4.6 years post-surgery) and controls (4.8 years post-surgery) were clinically well-nourished.
- Whipple patients had lower body weight than controls, but both groups were above ideal weight.
- No significant differences in functional performance or energy intake were observed between groups.
Conclusions:
- Long-term follow-up of Whipple procedure patients shows no nutritional or functional deficits.
- Full nutritional recovery appears possible after pancreaticoduodenectomy.
- This suggests successful long-term adaptation following major pancreatic surgery.