Importance of determining nutritional risk in neoadjuvant period in patients with pancreatic cancer

Abstract

Introduction. Despite the rather long path of development of nutritionology and its significance, a number of doctors and managers of medical institutions do not take into account the level of nutritional safety of the patient. Even after evaluating the operational and anaesthetic risks, there is still a risk of developing metabolic complications that lead to a prolonged postoperative period and surgical problems. The goal. To show the need for metabolic counseling (consultation of a nutritionist) already in the preoperative period, which may limit the choice of the nature of surgery. Material and methods. Two groups of patients with pancreatic head adenocarcinomas (who have passed neoadjuvant consultation only by a surgeon and anesthesiologist and who have passed consultation by a surgeon, anesthesiologist and nutritionist). All patients were assessed for operational, anaesthetic and nutritional risks using standard methods. Results. Neoadjuvant nutritional correction is a mandatory component of treatment of patients with pancreatic cancer. In determining the treatment strategy, consultation with a nutritionist before surgery on the pancreas is mandatory, as consultation with an anesthesiologist and a surgeon.