NICE guideline 6: Managing diet and pancreatic cancer
6.1 If you have pancreatic cancer that can’t be removed with surgery, you should be offered pancreatic enzyme supplements such as Creon® or Pancrease® to manage problems with diet and digestion.
6.2 If you are having surgery to remove pancreatic cancer, your doctor should assess whether you need pancreatic enzyme supplements before and after your surgery.
6.3 Fish oil supplements shouldn’t be used to help manage weight loss for people with inoperable pancreatic cancer.
There has been some research looking at fish oil supplements for managing weight loss, but there is no evidence that it works.
6.4 If you have had a Whipple’s operation or pylorus-preserving pancreaticoduodenectomy and are able to eat, you should be given food soon after the operation. You should have food either orally (by mouth) or through a feeding tube, rather than through a tube into a vein (parenteral feeding).
Read more about diet, digestion and nutrition.
Read other sections of the NICE guidelines for pancreatic cancer:
- Specialist pancreatic multidisciplinary teams
- Working out how far the cancer has spread (staging)
- Emotional (psychological) support
- Managing pain
- Relieving a blocked bile duct or duodenum
- Managing resectable (operable) and borderline resectable pancreatic cancer
- Managing pancreatic cancer that can’t be removed with surgery (inoperable or unresectable cancer)
Published: August 2018
Review date: August 2020