التفاصيل البيبلوغرافية
| العنوان: |
Changes in Pancreatic Endocrine Function and Morphology After Pancreaticoduodenectomy ; A Comparison Between Pancreatic Head Cancer and Other Pathologies |
| المؤلفون: |
Yoon, Hye Jeong, Choi, Jeong Sik, Shin, Woo Young, Lee, Keon-Young, Ahn, Seung-Ik |
| المصدر: |
Pancreas ; volume 49, issue 3, page 368-374 ; ISSN 1536-4828 0885-3177 |
| بيانات النشر: |
Ovid Technologies (Wolters Kluwer Health) |
| سنة النشر: |
2020 |
| الوصف: |
Objectives It is unclear whether the improved glucose metabolism in pancreas head cancer (PHC) patients after pancreaticoduodenectomy is due to the anatomical change or the relief of pancreatic duct obstruction. Methods We divided 170 patients into the PHC group (n = 54, 31.8%) and other pathology (non-PHC) group (n = 116, 68.2%). Glucose metabolic function was evaluated using the glucose tolerance index (GTI), and the pancreatic duct obstruction and dilatation was measured using the pancreatic atrophic index (PAI). Results The preoperative GTI was significantly higher in the PHC group (mean [standard deviation {SD}], 0.84 [1.16]) than in the non-PHC group (0.41 [SD, 0.59], P = 0.000). The postoperative GTI decreased significantly in the PHC group but remained unchanged in the non-PHC group. Similarly, the preoperative PAI was higher in the PHC group (0.32 [SD, 0.19]) than in the non-PHC group (0.13 [SD, 0.09], P = 0.000). The postoperative PAI decreased significantly in the PHC group, but not in the non-PHC group. Conclusions The impaired glucose metabolism in PHC can be caused by pancreatic duct obstruction. After pancreaticoduodenectomy, glucose metabolism is improved by the relief of pancreatic duct obstruction, and not by the anatomical change. The patients should be counseled accordingly. |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1097/mpa.0000000000001492 |
| DOI: |
10.1097/MPA.0000000000001492 |
| الإتاحة: |
https://doi.org/10.1097/mpa.0000000000001492Test |
| رقم الانضمام: |
edsbas.E561EC2C |
| قاعدة البيانات: |
BASE |
