HPB & Spleen · 30 April 2026

Optimize Postoperative Nutrition for Pancreatoduodenectomy

Early enteral nutrition (EEN) via nasojejunal tube reduces complications after pancreatoduodenectomy compared to oral nutrition (ON).

EEN patients had a mean 90-day complication index of 25.5 vs. 35.8 for ON (p = .02).
Overall morbidity was slightly higher in ON (51/59) vs. EEN (45/59), but not statistically significant.

Implementing EEN in nutritionally at-risk patients can improve surgical outcomes without increasing specific complication rates.

Nasojejunal tube was replaced in 14 EEN patients due to removal.

Journal Article by Joliat GR, Martin D (…) Schäfer M et 10 al. in JAMA Surg

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