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Pancreatic function and rehabilitation after pancreaticoduodenectomy

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Abstract

Postoperative pancreatic function and rehabilitation were monitored in 149 patients who had had reconstruction of the digestive tract by Child's method, out of a total 151 patients who had undergone pancreaticoduodenectomy. The occurrence of peptic ulcer following Child's method may be prevented by the resection of a wider area of the stomach. Because the source of gut hormone secretion is removed by the pancreaticoduodenectomy, the secretion of this hormone is subsequently reduced and thus metabolic abnormalities also occur. If careful attention however, is paid to the maintenance of residual pancreatic function most patients who undergo pancreaticoduodenectomy can be expected to lead reasonably normal lives.

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References

  1. Child CG III. Pancreaticojejunostomy and other problems associated with the surgical management of carcinoma involving the head of the pancreas. Report of five additional cases of radical pancreaticoduodenectomy. Ann Surg 1944; 119: 845–855.

    PubMed  CAS  Google Scholar 

  2. Lauristen KB, Moody AJ. The response of gastric inhibitory polypeptide (GIP) and insulin to glucose in duodenal ulcer patients. Diabetologia 1978; 14: 149–153.

    Article  Google Scholar 

  3. Whipple AO. Surgical treatment of carcinoma of the ampullary region and head of the pancreas. Am J Surg 1938; 40: 260–263.

    Article  Google Scholar 

  4. Cattell RB. Resection of the pancreas. Surg Clin North Am 1943; 23: 753–768.

    Google Scholar 

  5. Imanaga H. A new method of pancreaticoduodenectomy designed to preserve liver and pancreatic function. Surgery 1960; 47: 577–586.

    Article  PubMed  CAS  Google Scholar 

  6. Miyata M, Takao T, Okamoto E, Manabe H. An appraisal of radical pancreatoduodenectomy based on insulin secretion. Am J Surg 1977; 133: 577–581.

    Article  PubMed  CAS  Google Scholar 

  7. Sato T, Imamura M, Matsuno S, Sasaki I, Ohneda A. Gastric acid secretion and gut hormone release in patients undergoing pancreaticoduodenectomy. Surgery 1986; 99: 728–734.

    PubMed  CAS  Google Scholar 

  8. Grant CS, Van Heerden JA. Anastomotic ulceration following subtotal and total pancreatectomy. Ann Surg 1979; 190: 1–5.

    PubMed  CAS  Google Scholar 

  9. Scott HW, Dean RH, Parker T, Avant G. The role of vagotomy in pancreaticoduodenectomy. Ann Surg 1980; 191: 688–696.

    PubMed  Google Scholar 

  10. Waddell WR, Longhry RW. Gastric acid secretion after pancreaticoduodenectomy. Arch Surg 1968; 96: 574–585.

    PubMed  CAS  Google Scholar 

  11. Matsuno S, Takeda K, Kobari M, Sasaki K, Yamauchi H, Sato T. Pancreaticoduodenectomy with reconstruction of digestive tract by modified Child method. Nippon Shokaki Geka Gakkai Zasshi (Jpn J Gastroenterol Surg) 1983; 16: 2106–2111.

    Google Scholar 

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Matsuno, S., Takeda, K., Miyashita, E. et al. Pancreatic function and rehabilitation after pancreaticoduodenectomy. The Japanese Journal of Surgery 18, 23–30 (1988). https://doi.org/10.1007/BF02470842

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