{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T04:36:54Z","timestamp":1791607014558,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Postoperative pancreatic fistula (POPF) presents a significant challenge to oral intake after pancreaticoduodenectomy (PD). Strategies such as enteral feeding via nasojejunal tube, feeding jejunostomy (FJ), and total parenteral nutrition (TPN) are commonly used to optimize postoperative nutrition. However, the routine use of FJ in PD remains controversial. This study assesses the effectiveness of enteral feeding versus TPN in the management of POPF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective observational study was conducted on 100 patients undergoing classical PD at a tertiary care centre in eastern India between July 2019 and July 2024. Patients were randomly allocated to FJ and non\u2010FJ groups in a 1:1 ratio. The primary endpoints were procedure\u2010related complications (POPF, delayed gastric emptying (DGE), post\u2010pancreatectomy haemorrhage, bile leak, Clavien\u2010Dindo grade\u2009\u2265\u20093), hospital stay, additional costs and 30\u2010day mortality in patients with clinically relevant POPF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 100 patients, 50 underwent routine FJ placement, and 50 did not. Most POPF cases were Grade B (34% versus 24%). Subgroup analysis of patients with clinically relevant POPF revealed that FJ placement significantly reduced fistula duration (3.8 versus 5.2\u2009weeks,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001), intra\u2010abdominal drain duration (26.4 versus 34.9\u2009days,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001), hospital stay (7.9 versus 9.9\u2009days,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) and cost expenses (1301\u2009\u00b1\u2009524 versus 1982\u2009\u00b1\u2009441,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). There were no differences in complication rates, reoperations, readmissions or 30\u2010day mortality. FJ placement was not associated with adverse events.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Routine FJ is a safe and cost\u2010effective strategy for PD patients requiring prolonged nutritional support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70096","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T08:24:21Z","timestamp":1742372661000},"page":"1179-1185","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["RETRACTED: Enteral nutrition versus parenteral nutrition in the management of postoperative pancreatic fistula following pancreaticoduodenectomy: a prospective observational study"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3202-1896","authenticated-orcid":false,"given":"Rohith","family":"Kodali","sequence":"first","affiliation":[{"name":"Department of Hepato\u2010pancreato\u2010biliary and Transplant Surgery Singapore General Hospital  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunal","family":"Parasar","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology All India Institute of Medical Sciences  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0653-4129","authenticated-orcid":false,"given":"Utpal","family":"Anand","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology All India Institute of Medical Sciences  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3803-0155","authenticated-orcid":false,"given":"Saad","family":"Anwar","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology Apollo Spectra Hospitals  Kanpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bijit","family":"Saha","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology All India Institute of Medical Sciences  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basant Narayan","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology All India Institute of Medical Sciences  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kislay","family":"Kant","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology All India Institute of Medical Sciences  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3768-3218","authenticated-orcid":false,"given":"Venkatesh","family":"Karthikeyan","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine All India Institute of Medical Sciences  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2020.09.016"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181613142"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2016.06.046"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2016.11.014"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2017.01.004"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/CEG.S120217"},{"key":"e_1_2_10_8_1","first-page":"5","article-title":"Systematic review of peri\u2010operative nutritional supplementation in patients undergoing pancreaticoduodenectomy","volume":"7","author":"Goonetilleke KS","year":"2006","journal-title":"JOP \u2013 J. 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