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. Author manuscript; available in PMC: 2016 Nov 17.
Published in final edited form as: J Surg Oncol. 2015 Aug 27;112(5):503–509. doi: 10.1002/jso.24025

Fig. 2.

Fig. 2

Theoretical algorithm for a patient deemed to have resectable pancreatic head adenocarcinoma. A patient with a resectable pancreatic head adenocarcinoma deemed to be an operative candidate with sarcopenia is at significant increased risk for complications and death following resection. An alternative treatment algorithm for initiation of systemic therapy along with a protocol to improve nutrition and fitness preoperatively is proposed. This protocol is theoretical and is not supported by level I evidence. TPI, Total Psoas Index; HUAC, Hounsfield Unit Average Calculation.