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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 3/2020

01-12-2020 | Computed Tomography | ASO Author Reflections

ASO Authors Reflections: Preoperative Pancreatic Fat and Body Composition Measurements Influence the Incidence of Grade B/C Postoperative Pancreatic Fistula After Pancreatectomy

Authors: Katsuhito Tanaka, MD, Suguru Yamada, MD, PhD, Masamichi Hayashi, MD, PhD, Yasuhiro Kodera, MD, PhD

Published in: Annals of Surgical Oncology | Special Issue 3/2020

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Excerpt

Main pancreatic duct (MPD) width in preoperative computed tomography (CT) imaging has been widely accepted to predict postoperative pancreatic fistula (POPF).1 It is easy to measure and intuitively understandable to have an inverse correlation with the stiffness of pancreatic parenchyma. In other words, MPD dilatated cases have a hard pancreas and are likely to avoid grade B/C POPF. However, we cannot apply MPD measurement to middle or distal pancreatectomy cases because tumor-induced MPD dilatation does not affect the remnant pancreas texture. In addition, we sometimes experience relatively solid pancreatic parenchyma cases without MPD dilatation who underwent a good postoperative course without POPF. …
Literature
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Vallance AE, Young AL, Macutkiewicz C, Roberts KJ, Smith AM. Calculating the risk of a pancreatic fistula after a pancreaticoduodenectomy: a systematic review. HPB (Oxford). 2015;17(11):1040–1048.CrossRef
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Wong VW, Wong GL, Yeung DK, et al. Fatty pancreas, insulin resistance, and beta-cell function: a population study using fat-water magnetic resonance imaging. Am J Gastroenterol 2014;109(4):589–597.CrossRef
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Despres JP, Lemieux I. Abdominal obesity and metabolic syndrome. Nature. 2006;444(7121):881–887.CrossRef
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Fujii T, Sugimoto H, Yamada S, et al. Modified Blumgart anastomosis for pancreaticojejunostomy: technical improvement in matched historical control study. J Gastrointest Surg 2014;18(6):1108–1115.CrossRef
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Metadata
Title
ASO Authors Reflections: Preoperative Pancreatic Fat and Body Composition Measurements Influence the Incidence of Grade B/C Postoperative Pancreatic Fistula After Pancreatectomy
Authors
Katsuhito Tanaka, MD
Suguru Yamada, MD, PhD
Masamichi Hayashi, MD, PhD
Yasuhiro Kodera, MD, PhD
Publication date
01-12-2020
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue Special Issue 3/2020
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-020-08595-3

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