Pathophysiology after pancreaticoduodenectomy

被引:48
作者
Kang, Chang Moo [1 ,2 ]
Lee, Jin Ho [1 ,2 ]
机构
[1] Yonsei Univ, Coll Med, Dept Hepatobiliary & Pancreat Surg, Seoul 120752, South Korea
[2] Severance Hosp, Yonsei Canc Ctr, Pancreaticobiliary Canc Clin, Seoul 120752, South Korea
关键词
Pancreaticoduodenectomy; Delayed gastric emptying; Metabolic surgery; Exocrine insufficiency; Fatty liver; Postoperative pancreatic fistula; PYLORUS-PRESERVING PANCREATICODUODENECTOMY; FATTY LIVER-DISEASE; GLUCAGON-LIKE PEPTIDE-1; ROUX-EN-Y; RANDOMIZED CLINICAL-TRIAL; CANINE GASTROINTESTINAL MOTILITY; PANCREATIC HEAD RESECTION; MORPHOLOGICAL-CHANGES; NUTRITIONAL-STATUS; POSTPRANDIAL RELEASE;
D O I
10.3748/wjg.v21.i19.5794
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Pancreaticoduodenectomy (PD) will result in removal of important multiorgans in upper intestinal tract and subsequently secondary physiologic change. In the past, surgeons just focused on the safety of surgical procedure; however, PD is regarded as safe and widely applied to treatment of periampullary lesions. Practical issues after PD, such as, effect of duodenectomy, metabolic surgery-like effect, alignment effect of gastrointestinal continuity, and non-alcoholic fatty liver disease were summarized and discussed.
引用
收藏
页码:5794 / 5804
页数:11
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