The preoperative interval and surgical outcomes of longitudinal pancreaticojejunostomy for patients with chronic pancreatitis
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- SATO Hideaki
- Department of Surgery, Tohoku University Graduate School of Medicine
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- ISHIDA Masaharu
- Department of Surgery, Tohoku University Graduate School of Medicine
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- MOTOI Fuyuhiko
- First Department of Surgery, Yamagata University School of Medicine
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- OHTSUKA Hideo
- Department of Surgery, Tohoku University Graduate School of Medicine
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- MIZUMA Masamichi
- Department of Surgery, Tohoku University Graduate School of Medicine
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- HAYASHI Hiroki
- Department of Surgery, Tohoku University Graduate School of Medicine
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- MORIKAWA Takanori
- Department of Surgery, Tohoku University Graduate School of Medicine
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- NAKAGAWA Kei
- Department of Surgery, Tohoku University Graduate School of Medicine
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- MASAMUNE Atsushi
- Department of Gastroenterology, Tohoku University
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- NAITOH Takeshi
- Department of Surgery, Tohoku University Graduate School of Medicine
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- KAMEI Takashi
- Department of Surgery, Tohoku University Graduate School of Medicine
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- EGAWA Shinichi
- Division of International Cooperation for Disaster Medicine, International Research Institute of Disaster Science, Tohoku University
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- UNNO Michiaki
- Department of Surgery, Tohoku University Graduate School of Medicine
Bibliographic Information
- Other Title
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- 慢性膵炎に対する膵管ドレナージ術における有病期間と手術成績の検討
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Description
<p>Background: Surgery for patients with chronic pancreatitis (CP) is recommended when medical and endoscopic treatments fail in the Japanese practice guidelines. However, the optimal timing of surgery is not mentioned.</p><p>Purpose: To investigate the optimal timing of surgery for CP.</p><p>Methods: Postoperative outcomes were compared between patients undergoing early surgery (preoperative interval less than 5 years, N = 30), and those undergoing late surgery (interval of 5 years or more, N = 20). All patients underwent longitudinal pancreaticojejunostomy, from January 2005 to April 2016 at our institution.</p><p>Results: There were no significant differences in patients' background or perioperative outcomes. Thirty-eight patients were analyzed one year after surgery (Early group: 20, Late group: 18). Nutritional status improved in both groups, and there were no significant differences between the two groups. Pain was also significantly improved in both groups. There was no new onset of diabetes mellitus or pancreatic cancer during the follow up period.</p><p>Conclusion: Regardless of preoperative interval, surgical intervention was effective for patients with CP. Early surgical intervention may improve QOL by reducing disease duration.</p>
Journal
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- Suizo
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Suizo 35 (6), 551-558, 2020-12-28
Japan Pancreas Society
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Keywords
Details 詳細情報について
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- CRID
- 1390849931317012992
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- NII Article ID
- 130007962232
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- ISSN
- 18812805
- 09130071
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed