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General Medicine General 46e4af12

A 62-year-old woman undergoes a pancreaticoduodenectomy for a pancreatic head cancer. A jejunostomy is placed to facilitate nutritional repletion as she is expected to have a prolonged recovery. What is the best method for delivering postoperative nutrition?

A
Institution of enteral feeding the jejunostomy tube after return of bowel function as evidenced by passage of flatus or a bowel movemen
B
Institution of enteral feeding the jejunostomy tube within 24 hours postoperatively
C
Institution of supplemental enteral feeding the jejunostomy tube only if oral intake is inadequate after return of bowel function
D
Institution of a combination of immediate trophic (15 mL/h) enteral feeds the jejunostomy tube and parenteral nutrition to provide total nutritional suppo

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