BACKGROUND There is still a lack of good evidence regarding the optimal perioperative nutritional management for patients undergoing pancreatoduodenectomy (PD). The aim of this international survey was to assess the current practice among pancreatic surgeons. METHODS A web survey of 30 questions was sent to the members of the European-African Hepato-Pancreato-Biliary Association (E-AHPBA) and International Hepato-Pancreato-Biliary Association (IHPBA). All members were invited by email to answer the online survey. A reminder was sent after 4 weeks. RESULTS In total 420 out of 2500 surgeons (17%) answered the survey. Almost half of the surgeons (44%) did not organize a preoperative nutritional consultation for their patients. Seventy-seven percent of the participants did not have specific nutritional thresholds before the operation. A majority (66%) routinely used biological parameters to detect or follow malnutrition. Regarding intraoperative details, 69% of the respondents routinely leaved a nasogastric tube at the end of PD for gastric drainage. Sixty-six percent of the participants reported a postoperative nutritional follow-up consultation during hospitalization, and 58% of them had established local standardized protocols for postoperative nutritional support. CONCLUSION Management of perioperative nutrition in patients undergoing PD was very disparate internationally. No specific preoperative nutritional thresholds were used, and postoperative feeding routes and timing were diverse.

中文翻译：

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接受胰十二指肠切除术患者的围手术期营养管理：外科医师的一项国际调查。

背景技术对于进行胰十二指肠切除术（PD）的患者的最佳围手术期营养管理，仍然缺乏良好的证据。这项国际调查的目的是评估胰腺外科医生的当前做法。方法将30个问题的网络调查发送给欧洲-非洲肝胰胰胆管协会（E-AHPBA）和国际肝胰胰胆管协会（IHPBA）的成员。通过电子邮件邀请所有成员回答在线调查。4周后发送了提醒。结果在2500名外科医生中，有420名（17％）回答了调查。几乎一半的外科医生（44％）没有为其患者进行术前营养咨询。百分之七十七的参与者在手术前没有特定的营养阈值。大多数（66％）常规使用生物学参数来检测或跟踪营养不良。关于术中细节，有69％的受访者常规在PD结束时将鼻胃管留作胃引流。66％的参与者报告了住院期间的术后营养随访咨询，其中58％的参与者为术后营养支持建立了本地标准化协议。结论国际上PD患者围手术期营养管理差异很大。术前未使用具体的营养阈值，术后喂养途径和时机各不相同。69％的受访者通常在PD结束时将鼻胃管留作胃引流。66％的参与者报告了住院期间的术后营养随访咨询，其中58％的参与者为术后营养支持建立了本地标准化协议。结论国际上PD患者围手术期营养管理差异很大。术前未使用具体的营养阈值，术后喂养途径和时机各不相同。69％的受访者通常在PD结束时将鼻胃管留作胃引流。66％的参与者报告了住院期间的术后营养随访咨询，其中58％的参与者为术后营养支持建立了本地标准化协议。结论国际上PD患者围手术期营养管理差异很大。术前未使用具体的营养阈值，术后喂养途径和时机各不相同。结论国际上PD患者围手术期营养管理差异很大。术前未使用具体的营养阈值，术后喂养途径和时机各不相同。结论国际上PD患者围手术期营养管理差异很大。术前未使用具体的营养阈值，术后喂养途径和时机各不相同。