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doi: 36

Bevacizumab combined with capecitabine and oxaliplatin in patients with advanced adenocarcinoma of the small bowel or ampulla of vater: A single-center, open-label, phase 2 study

With surgery, we see about 20 to 30 percent weight loss

When to STOP / HOLD Suspected pancreatitis Severe GI intolerance Rapid unexplained weight loss Severe dehydration Before major surgery / procedures where delayed gastric emptying is a concern Practical update: peri-procedural withholding recommendations have evolved over time and can vary by procedure, aspiration risk, and society guidance

Lee and Castelli

When your stomach is emptying more slowly, giving it less to process at once can make a meaningful difference