Neoadjuvant treatment: A window of opportunity for nutritional prehabilitation in patients with pancreatic ductal adenocarcinoma

Table 2 Nutritional recommendation during neoadjuvant therapy in patients with pancreatic cancer

Nutritional recommendation during neoadjuvant therapy in patients with pancreatic cancer
Energy intake	Total energy expenditure should be measured; otherwise, 25 to 30 kcal/kg/d should be guaranteed
Protein intake	1.2-1.5 g/kg/d should be prescribed
Fish oil	Fish oil supplementation may improve the metabolic derangements
PERT	Tumor in the head: start PERT immediately
	Tumor in the body/tail: Perform PEI test before prescribing PERT
Immunonutrition	Immunonutrition-based supplements may improve clinical outcomes

PERT: Pancreatic enzymes replacement therapy; PEI: Pancreatic exocrine insufficiency.