Effects on nutrition of surgery of the liver, pancreas, and genitourinary tract
Shils, M.E.
Cancer Research 37(7 Pt 2): 2387-2394
1977
ISSN/ISBN: 0008-5472 PMID: 324616 Document Number: 123392
Carcinoma of the pancreas is increasing in the USA and has a poor prognosis. Surgical treatment has moved from subtotal pancreatectomy to total pancreatectomy and now to complete resection and vascular replacement. Pancreatic exocrine and endocrine insufficiency after resection add to the nutritional problems presented by this major surgery and its high complication rate. Recognition of these problems and adequate treatment decrease morbidity and mortality. Major hepatic resection imposes metabolic problems immediately after operations that are reduced by improving nutritional status before and by providing adequate support after operations with albumin and carbohydrate. Urinary tract diversion for pelvic cancer involving the ureters and bladder has progressed from ureterosigmoidostomy with its high incidence of disturbances of electrolyte and acid-base balance to ureteroileostomy with its lower rate of complications.