Perioperative Care Implementation: Evidence-Based Practice for Patients With Pancreaticoduodenectomy Using the Enhanced Recovery After Surgery Guidelines

Pancreatic adenocarcinoma (PA) is among the five most frequent causes of cancer-related deaths in the United States. An estimated 53,670 new diagnoses of pancreatic cancer and 43,090 deaths occurred in the United States in 2016 (American Cancer Society, 2017). PA is relatively resistant to radiation and chemotherapy and has a high rate of local and systemic recurrence (Abrams et al., 2009; Ghaneh, Costello, & Neoptolemos, 2007; Orr, 2010)....