Abstract:

To summarize the postoperative nursing experience of a pancreatic cancer patient undergoing total gastrectomy and pancreatectomy combined with autologous small bowel transplantation. To address postoperative complications including infections，thrombosis，anastomotic leakage，and nutritional issues，a multidisciplinary collaborative management team was established. The team implemented early infection detection and control，dynamic anticoagulation management to prevent bleeding and thrombosis，proactive nursing care for gastrointestinal anastomosis complications，real-time blood glucose monitoring for hypoglycemia prevention，whole process nutritional support，and enhanced multimodal diarrhea management. After 25 days of intensive treatment and meticulous nursing care，the patient achieved stable condition and was discharged. Three months of follow-up showed the patient gained 2 kg in body weight.

Key words: Pancreatic Neoplasms, Small Intestine, Transplantation, Autologous, Postoperative Nursing