書誌事項
- タイトル別名
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- CLINICAL SIGNIFICANCE OF AMYLASE LEVELS OF DRAINAGE FLUID IN PATIENTS WITH POSTOPERATIVE PANCREATIC FISTULA AFTER TOTAL GASTRECTOMY
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説明
Background: Pancreatic fistula (PF) is one of serious complications after total gastrectomy (TG). Purpose: The purpose of this study is to identify the clinical significance of amylase levels of drainage fluid (D-Amy) in the patient with PF after TG. Patients and method: Between 2003 and 2005, 128 consecutive patients with gastric cancer underwent TG with splenectomy or pancreaticosplenectomy in our institution. D-Amy was measured on postoperative day (POD) 1, 3 or 4, and 7. Results: PF developed in 17 patients (13%), whose D-Amy on POD1, 3 or 4, and 7 were significantly higher than those in patients without PF. Of these 17 patients, 10 patients (59%) were able to be diagnosed as having PF with purulent drain discharge until POD7. Conclusions: D-Amy on POD 1 and POD 3 or 4 might be useful to predict the development of PF. But no clinical significance was noted in measuring D-Amy on POD 1 and POD 3 or 4, because we do not change postoperative management by D-Amy on POD 1 and POD 3 or 4 as a general rule. In the efficient postoperative management of TG for gastric cancer, it might be effective to measure D-Amy in patient without purulent drain discharge on POD 7.
収録刊行物
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- 日本臨床外科学会雑誌
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日本臨床外科学会雑誌 67 (9), 2000-2005, 2006
日本臨床外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679826367488
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- NII論文ID
- 10018391527
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- NII書誌ID
- AA11189709
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- ISSN
- 18825133
- 13452843
- http://id.crossref.org/issn/13452843
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可