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Key clinical point: The clinical presentation of exocrine pancreatic insufficiency (EPI) is probably mild in the early postoperative period following gastric resectional surgery. Thus, routine pancreatic supplementation may not be needed after surgery; however, worsening of EPI symptoms should be carefully monitored.
Major finding: During a mean follow-up of 3 months, none of the patients developed clinically significant steatorrhoea or fat malabsorption in postoperative setting. Incidence of EPI (fecal elastase less than 200 μg/g) following gastric resectional surgery was 33.3%.
Study details: This prospective study included 60 patients who received total or subtotal gastrectomy for adenocarcinoma of the stomach. Pre- and postoperative FE testing was done in 27 patients.
Disclosures: This study was funded by the Internal Fluid research Grant, Christian Medical College, Vellore, India. The authors declared no conflicts of interest.
Source: Sridhar RP et al. Indian J Surg Oncol. 2021 Apr 5. doi: 10.1007/s13193-021-01315-7.
Key clinical point: The clinical presentation of exocrine pancreatic insufficiency (EPI) is probably mild in the early postoperative period following gastric resectional surgery. Thus, routine pancreatic supplementation may not be needed after surgery; however, worsening of EPI symptoms should be carefully monitored.
Major finding: During a mean follow-up of 3 months, none of the patients developed clinically significant steatorrhoea or fat malabsorption in postoperative setting. Incidence of EPI (fecal elastase less than 200 μg/g) following gastric resectional surgery was 33.3%.
Study details: This prospective study included 60 patients who received total or subtotal gastrectomy for adenocarcinoma of the stomach. Pre- and postoperative FE testing was done in 27 patients.
Disclosures: This study was funded by the Internal Fluid research Grant, Christian Medical College, Vellore, India. The authors declared no conflicts of interest.
Source: Sridhar RP et al. Indian J Surg Oncol. 2021 Apr 5. doi: 10.1007/s13193-021-01315-7.
Key clinical point: The clinical presentation of exocrine pancreatic insufficiency (EPI) is probably mild in the early postoperative period following gastric resectional surgery. Thus, routine pancreatic supplementation may not be needed after surgery; however, worsening of EPI symptoms should be carefully monitored.
Major finding: During a mean follow-up of 3 months, none of the patients developed clinically significant steatorrhoea or fat malabsorption in postoperative setting. Incidence of EPI (fecal elastase less than 200 μg/g) following gastric resectional surgery was 33.3%.
Study details: This prospective study included 60 patients who received total or subtotal gastrectomy for adenocarcinoma of the stomach. Pre- and postoperative FE testing was done in 27 patients.
Disclosures: This study was funded by the Internal Fluid research Grant, Christian Medical College, Vellore, India. The authors declared no conflicts of interest.
Source: Sridhar RP et al. Indian J Surg Oncol. 2021 Apr 5. doi: 10.1007/s13193-021-01315-7.