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논문 기본 정보

자료유형
학술저널
저자정보
Jin Min Kim (인하대학교) Jung Bum Hong (인하대학교) Woo Young Shin (인하대학교) Yun-Mee Choe (인하대학교) Gun Young Lee (인하대학교) Seung Ik Ahn (인하대학교)
저널정보
한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제18권 제1호
발행연도
2014.2
수록면
21 - 25 (5page)

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Backgrounds/Aims: The post-operative complications and clinical course of pancreaticoduodenectomy (PD) largely depend on the pancreaticojejunostomy (PJ). Several methods of PJ are in clinical use. We analyzed the early results of binding pancreaticojejunostomy (BPJ), a technique reported by SY Peng. Methods: We retrospectively reviewed the clinical results of patients who received BPJ in Inha University Hospital from 2006 to 2011. 21 BPJs were performed with Peng’s method. The definition of postoperative pancreatic fistula (PF) was a high amylase content (>3 times the upper normal serum value) of the drain fluid (of any measurable volume), at any time on or after the 3rd postoperative day. The pancreatic fistula was graded according to the International Study Group for Pancreatic Fistula (ISGPF) guidelines. Results: Of the 21 patients who received BPJ, 11 were male. The median age was 61.2 years. PD surgery included 4 cases of Whipple’s procedures and 17 cases of pylorus-preserving PD. According to the post-operative course, 16 patients recovered well with no evidence of PF. A total of 5 patients (23.8%), including 3 grade A PFs and 2 grade C PFs, suffered from a pancreatic fistula. 3 patients with grade A PF recovered with conservative management. Conclusions: The BPJ appears to be a relatively safe procedure based on this preliminary study, but further study is needed to validate its safety.

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INTRODUCTION
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RESULTS
DISCUSSION
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UCI(KEPA) : I410-ECN-0101-2015-510-001091301