Diseases Indicated for Pancreaticoduodenectomy
Conditions
Interventions
Once the diagnosis is established and surgery is scheduled, patients in Group A will receive direct preoperative interventions from specialized professionals-dietitians and physical therapists-using o
s original educational booklet, "
Exercise, Nutrition, and Diabetes Handbook for Biliary and Pancreatic Diseases"
. For nutritional therapy, dietitians will provide individualized dietary counseling with a target protein intake of 1.5 g per ideal body weight (IBW) per day. If dietary intake alone is insufficient
looking at the navel"
), and (4) forward lunges-15 repetitions per set, twice daily, in addition to walking 8,000 steps per day. In Group A, compliance with nutritional and exercise interventions will be reviewed weekly th
instead, patients will receive only conventional nutritional and exercise guidance provided by their attending surgeons.
Sponsors
St. Marianna University School of Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Patients scheduled to undergo pancreaticoduodenectomy in the Department of Gastrointestinal and General Surgery, St. Marianna University Hospital. 2) Patients aged 70 years or older at the time of obtaining informed consent. 3) Patients who are able to walk without assistive devices. 4) Patients who have received a full explanation of the study, fully understood the content, and voluntarily provided written informed consent to participate.
Exclusion criteria
Exclusion criteria: 1) Patients for whom preoperative nutritional and exercise therapy is difficult (including patients with a preoperative waiting period of less than 3 weeks) 2) Patients undergoing resection involving multiple organs 3) Patients with metallic implants or tattoos in the body 4) Patients with concomitant psychiatric disorders 5) Patients for whom informed consent cannot be obtained 6) Other patients deemed unsuitable as subjects by the principal (or sub-investigator)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative complication rate | — |
Countries
Japan
Contacts
Public ContactSaori Umezawa
St. Marianna University School of Medicine Department of Gastroenterological and General Surgery
Outcome results
None listed