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01-02-2017 | Letter to the Editor

Comment on: Preoperative Sarcopenia Strongly Influences the Risk of Postoperative Pancreatic Fistula Formation After Pancreaticoduodenectomy

Authors: Umut Safer, Cem Haymana, Vildan Binay Safer

Published in: Journal of Gastrointestinal Surgery | Issue 2/2017

Excerpt

We read with great interest the article by Nishida et al. reporting the predictive role of pre-operative sarcopenia in assessing postoperative pancreatic fistula (POPF) risk after pancreaticoduodenectomy.1 Several factors including underlying pancreatic pathology and texture, a fibrotic pancreatic remnant in patients with chronic pancreatitis, a soft and friable pancreatic parenchyma, small non-dilated pancreatic ducts (≤3 mm in diameter), presence of diabetes mellitus, previous laparotomy, longer operating time and unstable stump closure2 may lead to POPF. In this context, we found the results of the study by Yasunori et al. particularly important; however, we would like to comment on some potential limitations of the current article. …

Nishida Y, Kato Y, Kudo M, Aizawa H1, Okubo S, Takahashi D, Nakayama Y, Kitaguchi K, Gotohda N, Takahashi S, Konishi M. Preoperative Sarcopenia Strongly Influences the Risk of Postoperative Pancreatic Fistula Formation After Pancreaticoduodenectomy. J Gastrointest Surg. 2016;20(9):1586-1594.

Vege SS, Kendrick ML.Pancreatic fistulas: Clinical manifestations and diagnosis. In: UpToDate, Post TW (Ed), UpToDate, Waltham, MA. (Accessed on May 17, 2016.)

Chen LK, Liu LK, Woo J, Assantachai P, Auyeung TW, Bahyah KS, Chou MY, Chen LY, Hsu PS, Krairit O, Lee JS, Lee WJ, Lee Y, Liang CK, Limpawattana P, Lin CS, Peng LN, Satake S, Suzuki T, Won CW, Wu CH, Wu SN, Zhang T, Zeng P, Akishita M, Arai H. Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. J Am Med Dir Assoc. 2014;15(2):95–101.CrossRefPubMed

V.B. Safer, U. Safer. Usefulness and limitations of single-slice computed tomography analysis at the third lumbar region in the assessment of sarcopenia. Crit Care, 2013;17(6):466.CrossRefPubMedPubMedCentral

Title: Comment on: Preoperative Sarcopenia Strongly Influences the Risk of Postoperative Pancreatic Fistula Formation After Pancreaticoduodenectomy
Authors: Umut Safer
Cem Haymana
Vildan Binay Safer
Publication date: 01-02-2017
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 2/2017
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-016-3293-x

At a glance: The STEP trials

Springer Medicine

Comment on: Preoperative Sarcopenia Strongly Influences the Risk of Postoperative Pancreatic Fistula Formation After Pancreaticoduodenectomy

Excerpt

At a glance: The STEP trials

Springer Medicine

Excerpt

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