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フルテキストURLA020046000309.pdf ( 416.7KB ) 公開日 2010-04-19
タイトルAn Informative Case under Total Pancreatic Duct Drainage Procedure after Pancreatoduodenectomy
作成者Ueno, Tomio
Oka, Masaaki
Yamamoto, Koutaro
Nakamura, Mitsuo
Yahara, Noboru
Mastuoka, Kouji
Suzuki, Nobuaki
作成者ヨミウエノ, トミオ
オカ, マサアキ
ヤマモト, コウタロウ
ナカムラ, ミツオ
ヤハラ, ノボル
マツオカ, コウジ
スズキ, ノブアキ
作成者所属山口大学医学部
内容記述(抄録等)Total pancreatic duct drainage has been recognized as a safe and leak-proof procedure after pancreatoduodenectomy and this procedure has improved morbidity and mortality. However, the impact of tube complications remains unknown. We treated a patient with an obstructed tube that impaired pancreatic drainage for 23 days. During this period, although serum amylase lavels were elevated, the patient was asymptomatic. On the 24th postperative day (POD), a moderate amount of clear pancreatic juice was excreted abruptly and subsequent drainage was uneventful. During the late postoperative period, the response of the pancreatic juice to an oral diet was sustained and oral glucose tolerance was also maintained. These findings suggest that the effects of obstruction of the main pancreatic duct for 23 days on the residual pancreas are reversible in humans. Thus, in a case with tube complication, one possible strategy is to allow the matter to take its own course. This case illustrates the importance of careful ligature of the pancreatic tube. It is necessary to recheck the patency with a suitable guide-wire, especially one with a small inner diameter.
本文言語eng
著者キーワードtotal pancreatic duct drainage
pancreatic duct obstruction
主題医学
資料タイプtext
ファイル形式application/pdf
出版者Yamaguchi University School of Medicine
NII資料タイプ紀要論文
ISSN0513-1812
NCIDAA00594272
学内刊行物(紀要等)The bulletin of the Yamaguchi Medical School
掲載誌名The bulletin of the Yamaguchi Medical School
掲載誌名別表記山口医科大学紀要
46
3-4
開始ページ111
終了ページ115
発行日1999-12
著者版/出版社版出版社版
リポジトリIDA020046000309
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/A020046000309