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논문 기본 정보

자료유형
학술저널
저자정보
Yong Hoon Kim (Keimyung University School of Medicine)
저널정보
한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제16권 제1호
발행연도
2012.3
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1 - 6 (6page)

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초록· 키워드

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Although technical advances have been made in pancreaticoduodenectomy, the incidence of delayed gastric emptying (DGE) is reported as being high. Postoperative DGE is not fatal, but often results in prolonging the length of patients’ stay in hospital, increasing their medical expenses, and further lowering their quality of life. DGE is a complex process caused by disorder and incoordination of various factors in charge of gastric mobility, such as smooth muscle cells (myogenic), enteric neuron (hormonal), and autonomic nervous system (neural). DGE often occurs after operative maneuvers that cause the loss of organs responsible for gastric motility and emptying or kinetic muscular or neuromuscular ischemia. To prevent DGE, it is most important to develop and universalize a standardized surgical technique in a way to reduce factors that are considered to cause DGE after pancreaticoduodenectomy. Moreover, if it is suspected that DGE occurred after pancreaticoduodenectomy, a differential diagnosis from diseases with similar symptoms via an accurate diagnostic approach should be implemented. (Korean J Hepatobiliary Pancreat Surg 2012;16:1-6)

목차

INTRODUCTION
DEFINITION
DIAGNOSIS OF DELAYED GASTRIC EMPTYING AFTER SURGERY
PROPOSED CAUSES OF DELAYED GASTRIC EMPTYING AFTER SURGERY
MANAGEMENT OF DELAYED GASTRIC EMPTYING
CONCLUSIONS
REFERENCES

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