Detailed Abstract
[BP Poster Presentation 3]
[BP PP 3-3] Comparative long-term outcomes for pancreatic volume change, nutritional status, and incidence of new-onset diabetes between pancreatogastrostomy and pancreatojejunostomy after pancreaticoduodenectomy
Bong Jun KWAK1, Tae Ho HONG*2, Ho Joong CHOI2, Young Kyoung YOU2
1Department of Hepatobiliary and Pancreas Surgery, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Korea
2Department of Hepatobiliary and Pancreas Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Korea
Introduction : The difference in volume change in a pancreatic remnant according to the type of pancreaticoenterostomy after pancreaticoduodenectomy (PD) for long-term follow-up is unknown. This study aimed to compare serial pancreatic volume changes in pancreatic remnants between pancreatogastrostomy (PG) and pancreatojejunostomy (PJ) after PD and to evaluate the difference in general nutritional status and incidence of NODM between PG and PJ.
Methods : This study enrolled 115 patients who had survived for more than three years after PD. They were divided into the PG group and the PJ group. Their clinicopathologic factors were collected and analyzed. We calculated serial pancreas volume and pancreatic duct size precisely from preoperative stage to five years after surgery by image-processing software. Consecutive changes of albumin and body mass index (BMI) as related to general nutritional status were compared. Postoperative NODM was evaluated.
Results : Most patient demographics were not significantly different between the PG group (n=45) and PJ group (n=70). There was no significant difference in volume reduction between the groups from postoperative one month to five years (PG group −18.21±14.66 mL versus PJ group −14.43±13.05 mL, P=0.209). There was no significant difference in the change of total serum albumin and BMI between the groups for five years after surgery. The incidence of NODM was not significantly different between the groups (PG group 21.6% versus PJ group 21.5%, P=0.995)
Conclusions : PG and PJ following PD induced similar pancreatic volume reduction during long-term follow-up. There was no difference in general nutritional status or incidence of NODM between the groups after PD.
Methods : This study enrolled 115 patients who had survived for more than three years after PD. They were divided into the PG group and the PJ group. Their clinicopathologic factors were collected and analyzed. We calculated serial pancreas volume and pancreatic duct size precisely from preoperative stage to five years after surgery by image-processing software. Consecutive changes of albumin and body mass index (BMI) as related to general nutritional status were compared. Postoperative NODM was evaluated.
Results : Most patient demographics were not significantly different between the PG group (n=45) and PJ group (n=70). There was no significant difference in volume reduction between the groups from postoperative one month to five years (PG group −18.21±14.66 mL versus PJ group −14.43±13.05 mL, P=0.209). There was no significant difference in the change of total serum albumin and BMI between the groups for five years after surgery. The incidence of NODM was not significantly different between the groups (PG group 21.6% versus PJ group 21.5%, P=0.995)
Conclusions : PG and PJ following PD induced similar pancreatic volume reduction during long-term follow-up. There was no difference in general nutritional status or incidence of NODM between the groups after PD.
SESSION
BP Poster Presentation 3
E-Session 7/27 ~ 7/29 ALL DAY