A soft pancreatic remnant is associated with increased drain fluid pancreatic amylase and serum CRP levels following pancreatoduodenectomy
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作者:
Murakami, Yoshiaki
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Hiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, JapanHiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, Japan
Murakami, Yoshiaki
[1
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Uemura, Kenichiro
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Hiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, JapanHiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, Japan
Uemura, Kenichiro
[1
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Hayasidani, Yasuo
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Hiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, JapanHiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, Japan
Hayasidani, Yasuo
[1
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Sudo, Takeshi
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Hiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, JapanHiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, Japan
Sudo, Takeshi
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Hashimoto, Yasushi
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Hiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, JapanHiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, Japan
Hashimoto, Yasushi
[1
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Nakagawa, Naoya
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Hiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, JapanHiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, Japan
Nakagawa, Naoya
[1
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Ohge, Hiroki
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Hiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, JapanHiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, Japan
Ohge, Hiroki
[1
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Sueda, Taijiro
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Hiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, JapanHiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, Japan
Sueda, Taijiro
[1
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机构:
[1] Hiroshima Univ, Grad Sch Biomed Sci, Dept Surg, Div Clin Med Sci,Minami Ku, Hiroshima 7348551, Japan
The aim of this prospective study was to clarify differences in postoperative changes of serum or drainage fluid pancreatic amylase levels and serum C-reactive protein (CRP) levels between patients with a soft pancreatic texture and those with a hard pancreatic texture undergoing pancreatoduodenectomy (PD) with pancreaticogastrostomy. A total of 61 consecutive patients with resectable periampullary tumors undergoing PD were recruited. This population was divided into 27 patients with a hard pancreatic texture and 34 patients with a soft pancreatic texture. Drainage fluid total amylase or pancreatic amylase levels, serum total amylase or pancreatic amylase levels, and serum CRP levels were measured postoperatively. Clinicopathological data were also compared between two groups. Postoperative complications more frequently occurred in patients with a soft pancreatic texture compared with those with a hard pancreatic texture (P=0.029). Serum or drainage fluid pancreatic amylase levels and serum CRP levels of patients with a soft pancreatic texture were significantly higher than those of patients with a hard pancreatic texture after PD on postoperative days 1 and 2 (P < 0.05). A soft pancreatic texture was identified as an only independent predictive factor of increased drainage fluid pancreatic amylase levels (P=0.006) and serum CRP levels (P=0.047). A soft pancreatic texture is closely associated with increased drainage fluid pancreatic amylase and serum CRP levels after PD. More careful post-PD management is needed for patients with a soft pancreatic texture.
机构:
Tokyo Med Univ, Ibaraki Med Ctr, Dept Surg Gastroenterol, 3-20-1 Chuo, Ami, Ibaraki 3000395, JapanTokyo Med Univ, Ibaraki Med Ctr, Dept Surg Gastroenterol, 3-20-1 Chuo, Ami, Ibaraki 3000395, Japan
Suzuki, Shuji
Shimoda, Mitsugi
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Tokyo Med Univ, Ibaraki Med Ctr, Dept Surg Gastroenterol, 3-20-1 Chuo, Ami, Ibaraki 3000395, JapanTokyo Med Univ, Ibaraki Med Ctr, Dept Surg Gastroenterol, 3-20-1 Chuo, Ami, Ibaraki 3000395, Japan
Shimoda, Mitsugi
Shimazaki, Jiro
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Tokyo Med Univ, Ibaraki Med Ctr, Dept Surg Gastroenterol, 3-20-1 Chuo, Ami, Ibaraki 3000395, JapanTokyo Med Univ, Ibaraki Med Ctr, Dept Surg Gastroenterol, 3-20-1 Chuo, Ami, Ibaraki 3000395, Japan
Shimazaki, Jiro
Oshiro, Yukio
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Tokyo Med Univ, Ibaraki Med Ctr, Dept Surg Gastroenterol, 3-20-1 Chuo, Ami, Ibaraki 3000395, JapanTokyo Med Univ, Ibaraki Med Ctr, Dept Surg Gastroenterol, 3-20-1 Chuo, Ami, Ibaraki 3000395, Japan
Oshiro, Yukio
Nishida, Kiyotaka
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Tokyo Med Univ, Ibaraki Med Ctr, Dept Surg Gastroenterol, 3-20-1 Chuo, Ami, Ibaraki 3000395, JapanTokyo Med Univ, Ibaraki Med Ctr, Dept Surg Gastroenterol, 3-20-1 Chuo, Ami, Ibaraki 3000395, Japan
Nishida, Kiyotaka
Shiihara, Masahiro
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Tokyo Womens Med Univ, Dept Surg Gastroenterol, Tokyo, JapanTokyo Med Univ, Ibaraki Med Ctr, Dept Surg Gastroenterol, 3-20-1 Chuo, Ami, Ibaraki 3000395, Japan
Shiihara, Masahiro
Izumo, Wataru
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Tokyo Womens Med Univ, Dept Surg Gastroenterol, Tokyo, JapanTokyo Med Univ, Ibaraki Med Ctr, Dept Surg Gastroenterol, 3-20-1 Chuo, Ami, Ibaraki 3000395, Japan
Izumo, Wataru
Yamamoto, Masakazu
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Tokyo Womens Med Univ, Dept Surg Gastroenterol, Tokyo, JapanTokyo Med Univ, Ibaraki Med Ctr, Dept Surg Gastroenterol, 3-20-1 Chuo, Ami, Ibaraki 3000395, Japan