Abstract
To analyse the association between pancreatogenic diabetes and the volume of the remnant pancreas after pancreaticoduodenectomy and to identify clinicopathologic factors correlated with pancreatogenic diabetes. Among the patients who underwent pancreaticoduodenenctomy from 2003 to 2004, 55 patients who survived by 2009 and were able to measure the volume of the pancreas pre- and post-operatively by CT volumetry were included in this study. Twelve patients had diabetes before surgery. Median follow-up duration was 55.2 and 67.3 months for CT volumetry, pancreatogenic diabetes, respectively. Among 43 patients without preoperative diabetes, nine patients (21%) developed newly diabetes after surgery. Among 12 patients with diabetes, 10 patients had worsened glucose control. The immediate post-operative Vol% was 46.5% and the last Vol% was 31.5% (P < 0.001). Preoperative diabetes, malignant pathology, absence of post-operative pancreatic fistula, chemotherapy and radiotherapy were correlated with a lower Vol%. Atrophic changes were observed in 29 patients and hypertrophic changes in 13 patients. Comparative analysis according to the change in the Vol% revealed no differences in the clinicopathological factors associated with new-ons...Continue Reading
References
Dec 1, 1992·Annals of Surgery·R P Jalleh, R C Williamson
Apr 1, 1974·Annals of Surgery·M MiyataH Manabe
Feb 1, 1995·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·M NaginoH Yamamoto
Mar 1, 1995·Archives of Surgery·C Fernández-del CastilloA L Warshaw
May 1, 1993·Annals of Surgery·J L CameronJ Coleman
Jul 1, 1993·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·N YamanakaW Tanaka
Oct 27, 1997·Annals of Surgery·C J YeoR A Abrams
Jun 26, 1998·Langenbeck's Archives of Surgery·M TredeB Rumstadt
Aug 10, 2000·The British Journal of Surgery·M W BüchlerK Z'Graggen
May 10, 2001·World Journal of Surgery·L A Slezak, D K Andersen
Jul 9, 2005·Surgery·Claudio BassiUNKNOWN International Study Group on Pancreatic Fistula Definition
May 13, 2008·Diabetes Care·Anjali F KumarElizabeth R Seaquist
Jun 11, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jonathan KingGuido Eibl
Nov 28, 2008·Diabetologia·B A MengeJ J Meier
Aug 13, 2009·Pancreas·DongDo YouDongWook Choi
Citations
Jul 9, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Keiichiro HirataKosei Hirakawa
Aug 3, 2013·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·K EomS W Ha
Jul 31, 2013·International Journal of Surgery·Bunzo NakataKosei Hirakawa
Jul 15, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Julie N LealPeter J Allen
Jul 7, 2015·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Veit PhillipHana Algül
Sep 22, 2015·Pancreas·Jae Hyun KwonYoung-Joo Lee
Oct 27, 2015·Pancreas·David C WhitcombRupal P Khurmi
Mar 30, 2017·Medicine·Sung Pil YunDong Hoon Baek
Mar 9, 2017·Nutrients·Taylor M GillilandGeorge Van Buren
Oct 19, 2019·Journal of Clinical Medicine·Valentina AndreasiMassimo Falconi
Feb 6, 2020·Clinical Endocrinology·Linda WuVenessa Tsang
May 29, 2015·World Journal of Gastroenterology : WJG·Chang Moo Kang, Jin Ho Lee
Nov 1, 2012·Korean Journal of Hepato-biliary-pancreatic Surgery·Hyoung Min OhDae-Wook Hwang
Apr 23, 2019·Acta chirurgica Belgica·V HartmanG Roeyen
Jul 13, 2017·Medicine·Shin-Young ParkSeung-Ik Ahn
Aug 26, 2020·Surgery·Ilaria PergoliniIhsan Ekin Demir
Nov 14, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Marvi TariqJuan M Sarmiento
Jan 24, 2021·The Journal of Clinical Endocrinology and Metabolism·Fumimaru NiwanoHiroshi Ikegami
Feb 2, 2021·The American Surgeon·Tatsuya YamazakiMasahiko Murakami
Mar 28, 2021·Journal of Hepato-biliary-pancreatic Sciences·Woohyun JungJin-Young Jang
Aug 3, 2021·Annals of Gastroenterological Surgery·Daisaku YamadaMasato Sakon
Feb 6, 2018·Journal of Visceral Surgery·A MaignanI Sielezneff