The clinical results of duct-to-mucosa pancreaticojejunostomy after pancreaticoduodenectomy in consecutive 55 cases.

Abstract:

OBJECTIVES:Pancreatic anastomotic leakage remains a major troublesome complication after pancreaticoduodenectomy. Thus, various technical modifications regarding the pancreatic anastomosis after pancreaticoduodenectomy have been attempted to minimize anastomotic leakage. We have performed duct-to-mucosa pancreaticojejunostomy with resection of jejunal serosa (layer-to-layer pancreaticojejunostomy) and obtained extremely favorable results. METHODS:During 1999 to 2006, 55 patients (27 women and 28 men) underwent duct-to-mucosa pancreaticojejunostomy with resection of jejunal serosa after pancreaticoduodenectomy. The mean age was 64.6 years (range, 33-84 years). RESULTS:Median postoperative hospital stay was 32.8 days. Morbidity rate due to early postoperative complication was 9.1% (pneumothorax in 1, pulmonary embolism in 1, gastric ulcer in 1, and wound infection in 2), with no pancreatic anastomotic leakage. CONCLUSIONS:There was low complication rate and no pancreatic anastomotic leakage in consecutive 55 patients who underwent pancreaticoduodenectomy. We consider that duct-to-mucosa pancreaticojejunostomy with resection of jejunal serosa is extremely safe, reliable, and favorable for the anastomosis after pancreaticoduodenectomy.

journal_name

Pancreas

journal_title

Pancreas

authors

Hayashibe A,Kameyama M

doi

10.1097/MPA.0b013e3180676dc2

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

273-5

issue

3

eissn

0885-3177

issn

1536-4828

pii

00006676-200710000-00013

journal_volume

35

pub_type

杂志文章

相关文献

PANCREAS文献大全
  • Immunological Gene Signature Associated With the Tumor Microenvironment of Pancreatic Cancer After Neoadjuvant Chemotherapy.

    abstract:OBJECTIVES:Neoadjuvant chemotherapy (NAC) has improved overall survival in patients with pancreatic ductal adenocarcinoma (PDAC), but its effects on immune gene signatures are unknown. Here, we examined the immune transcriptome after NAC for PDAC. METHODS:Resected tumor specimens were obtained from 140 patients with P...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001665

    authors: Hane Y,Tsuchikawa T,Nakamura T,Hatanaka KC,Saito T,Tanaka K,Nakanishi Y,Asano T,Noji T,Okamura K,Shichinohe T,Yokota I,Hatanaka Y,Hirano S

    更新日期:2020-10-01 00:00:00

  • No strict correlation between necrosis and organ failure in acute pancreatitis.

    abstract::The aim of this study was to determine the relationship between pancreatic necrosis and organ failure in acute pancreatitis. Two hundred seventeen patients with acute pancreatitis were prospectively included. All of them had been examined by computed tomography (CT) within 72 hours of admission. Initial organ failure ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200004000-00015

    authors: Lankisch PG,Pflichthofer D,Lehnick D

    更新日期:2000-04-01 00:00:00

  • The prophylactic effect of somatostatin on post-therapeutic endoscopic retrograde cholangiopancreatography pancreatitis: a randomized, multicenter controlled trial.

    abstract:OBJECTIVES:Patients undergoing therapeutic endoscopic retrograde cholangiopancreatography (ERCP) are at a higher risk of developing post-ERCP pancreatitis than patients undergoing diagnostic ERCP. The aim of this study was to evaluate the effectiveness of somatostatin in preventing post-therapeutic ERCP pancreatitis. ...

    journal_title:Pancreas

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/MPA.0b013e3181733721

    authors: Lee KT,Lee DH,Yoo BM

    更新日期:2008-11-01 00:00:00

  • Effects of gadolinium chloride and glycine on hepatic and pancreatic tissue damage in alcoholic pancreatitis.

    abstract:OBJECTIVE:Systemic complications in alcoholic pancreatitis are supposed to be aggravated by inflammatory liver damage. Resident macrophages including hepatic Kupffer cells play a pivotal role in mediating systemic complications in severe necrotizing pancreatitis (SNP). The aim of this study was to evaluate the effects ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181bd6470

    authors: Schneider L,Hackert T,Longerich T,Hartwig W,Fritz S,Krych R,Fortunato F,Gebhard MM,Werner J

    更新日期:2010-05-01 00:00:00

  • Inactive aldehyde dehydrogenase-2 increased the risk of pancreatic cancer among smokers in a Japanese male population.

    abstract:OBJECTIVES:Most of the acetaldehyde, a recognized animal carcinogen, generated during alcohol metabolism is eliminated by liver mitochondrial aldehyde dehydrogenase 2 (ALDH2). More than 40% of Japanese have the inactive form of ALDH2, and inactive ALDH2 is a risk factor for multiple cancers of the esophagus as well as ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000147084.70125.41

    authors: Miyasaka K,Kawanami T,Shimokata H,Ohta S,Funakoshi A

    更新日期:2005-03-01 00:00:00

  • Effects of the cholecystokinin A receptor antagonist loxiglumide on the proliferation and cell cycle time of pancreatic acinar cells in rats.

    abstract:OBJECTIVES:Prior studies have indicated that endogenous or exogenous cholecystokinin (CCK) induces transient acinar cell proliferation at about 24 hours after its stimulation. The aims of the present study were to determine the time point when the administration of the CCK-A-receptor antagonist loxiglumide had its maxi...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000202960.63977.d1

    authors: Kanemitsu D,Sakagami J,Motoyoshi T,Nakajima T,Kataoka K

    更新日期:2006-03-01 00:00:00

  • Alteration of integrins by interleukin-1alpha in human pancreatic cancer cells.

    abstract:INTRODUCTION:Adhesion of tumor cells to extracellular matrix (ECM) proteins plays an important role in tumor invasion and metastasis. AIMS:To investigate the expression of integrins in human pancreatic cancer cell lines and its alteration by interleukin (IL)-1alpha to examine the mechanism of adhesion of metastatic hu...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200111000-00011

    authors: Sawai H,Yamamoto M,Okada Y,Sato M,Akamo Y,Takeyama H,Manabe T

    更新日期:2001-11-01 00:00:00

  • Long-term correction of hyperglycemia in diabetic mice after implantation of cultured human cells derived from fetal pancreas.

    abstract::Type I diabetes is characterized by destruction of insulin-producing beta-islet cells in the pancreas resulting in hyperglycemia and associated morbidity. The successful treatment of diabetes by transplanted islets has resulted in renewed efforts to identify methods to augment islet availability. One approach is to id...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200407000-00064

    authors: Wu F,Jagir M,Powell JS

    更新日期:2004-07-01 00:00:00

  • The biological relevance of N-terminal neurotensin fragments in the regulation of exocrine pancreas secretion.

    abstract::Stimulation of the exocrine pancreas is one of the biological effects attributed to the tridecapeptide neurotensin (NT). Only the C-terminal 8-13 fragment with its extremely short plasma half-life in the peripheral circulation was considered to be necessary for biological activity. The N-terminal fragments that are de...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198902000-00018

    authors: Nustede R,Köhler H,Pfannkuche A,Fölsch UR,Schafmayer A

    更新日期:1989-01-01 00:00:00

  • Comparison of murine embryonic pancreatic development in vitro and in vivo.

    abstract:OBJECTIVES:The purpose of the present study was to compare the development of murine embryonic pancreas in vitro and in vivo. METHODS:Murine embryonic pancreas at 12.5 days of gestation was dissected and cultured at the air-medium interface. At 1, 3, and 7 days of culture, the characteristics of cultured murine pancre...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e31821ad758

    authors: Ma F,Haumaitre C,Chen F,Han Z

    更新日期:2011-10-01 00:00:00

  • In vivo and in vitro effects of adenosine-5'-O-(2-thiodiphosphate) on pancreatic hormones in dogs.

    abstract::Adenosine-5'-O-(2-thiodiphosphate) (ADP beta S), a P2y purinergic agonist, has been shown to be a potent insulin secretagogue on the isolated rat pancreas. In the present work the effects of ADP beta S on insulin somatostatin, and glucagon secretions were investigated in dogs. In vivo, in anesthetized fasted dogs, i.v...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:

    authors: Hillaire-Buys D,Gross R,Parés-Herbuté N,Ribes G,Loubatières-Mariani MM

    更新日期:1994-09-01 00:00:00

  • Animal and in vitro models of alcoholic pancreatitis: role of cholecystokinin.

    abstract::Although ethanol abuse is the major etiologic factor in the development of acute and chronic pancreatitis, the mechanisms of ethanol effects to cause pancreatitis are poorly understood. The major reason for the lack of progress is the relative lack of animal models that reproduce the deleterious effects of ethanol on ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200311000-00004

    authors: Pandol SJ,Gukovsky I,Satoh A,Lugea A,Gukovskaya AS

    更新日期:2003-11-01 00:00:00

  • Manganese modulates protein phosphorylation in the rat pancreas: in vitro evidence for cation selective regulation.

    abstract::The effects of manganese (Mn2+) on phosphorylation activity in the rat pancreas were examined in an in vitro phosphorylation assay and by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) of endogenous proteins. Several histones were phosphorylated in the presence of pancreatic supernatant obtained ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199009000-00015

    authors: Brockenbrough JS,Korc M

    更新日期:1990-09-01 00:00:00

  • Distributional patterns of phospholipase C isozymes in rat pancreas.

    abstract::Phospholipase C (PLC) isozymes are believed to play a role in regulating pancreatic exocrine and endocrine secretion. In an attempt to investigate the role of PLC, we examined the distribution patterns of PLC isozymes in the normal rat pancreas by Western blot analysis and immunohistochemistry. Western blot analysis w...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200101000-00008

    authors: Kim MJ,Lee KH,Min DS,Yoon SH,Hahn SJ,Kim MS,Jo YH

    更新日期:2001-01-01 00:00:00

  • The risk of pancreaticointestinal anastomosis can be predicted preoperatively.

    abstract::The risk of developing postoperative complications following pancreatic resection depends mainly on how difficult it is to perform a proper pancreaticointestinal anastomosis. We have evaluated the serum pancreolauryl test, a rapid tubeless pancreatic function test, as a simple preoperative predictor of the degree of p...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:

    authors: Friess H,Malfertheiner P,Isenmann R,Kühne H,Beger HG,Büchler MW

    更新日期:1996-08-01 00:00:00

  • Hepatitis viruses causing pancreatitis and hepatitis: a case series and review of literature.

    abstract:OBJECTIVES:Association between acute pancreatitis and acute viral hepatitis (AVH) is more frequent than previously thought. Most cases are hepatitis A or B virus related. Only 6 cases of acute pancreatitis with acute hepatitis E virus (HEV)-related hepatitis has been reported so far. METHODS:We analyzed the hospital r...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e31815d9d53

    authors: Bhagat S,Wadhawan M,Sud R,Arora A

    更新日期:2008-05-01 00:00:00

  • Duct epithelial cells cultured from human pancreas processed for transplantation retain differentiated ductal characteristics.

    abstract::A procedure is described for the isolation and growth in vitro of epithelial cells from the duct network of human pancreas, referred to as DEC. A significant advantage of our procedure over previously published procedures is that it enables the isolation of DEC from small pieces of pancreas tissue (< 5 g) and, also, f...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199710000-00008

    authors: Kolar C,Caffrey T,Hollingsworth M,Scheetz M,Sutherlin M,Weide L,Lawson T

    更新日期:1997-10-01 00:00:00

  • Pancreatic enzyme secretion mediated by novel peptide: monitor peptide hypothesis.

    abstract::A new model is proposed for pancreatic enzyme secretion in response to food protein intake in rats. We have found a novel peptide in rat bile-pancreatic juice, which exhibits a trypsin-sensitive, cholecystokinin (CCK)-releasing activity. The amino acid sequence of the peptide purified from rat bile-pancreatic juice is...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198812000-00013

    authors: Iwai K,Fushiki T,Fukuoka S

    更新日期:1988-01-01 00:00:00

  • Factors That Influence the Quality of RNA From the Pancreas of Organ Donors.

    abstract:OBJECTIVES:Attaining high-quality RNA from the tissues or organs of deceased donors used for research can be challenging due to physiological and logistical considerations. In this investigation, METHODS: RNA Integrity Number (RIN) was determined in pancreatic samples from 236 organ donors and used to define high (≥6.5...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000717

    authors: Philips T,Kusmartseva I,Gerling IC,Campbell-Thompson M,Wasserfall C,Pugliese A,Longmate JA,Schatz DA,Atkinson MA,Kaddis JS

    更新日期:2017-02-01 00:00:00

  • Pancreatobiliary Versus Head and Neck Manifestations in Immunoglobulin G4-related Disease: Distinct Subsets of the Same Disease?

    abstract:OBJECTIVES:We compared the clinical profiles and organ manifestations of the commonly encountered immunoglobulin G4-related diseases (IgG4-RDs) on either side of the diaphragm: head and neck (HN) versus pancreatobiliary (PB) in IgG4-RD. METHODS:From the Mayo Clinic, Rochester, database, we identified 53 HN and 88 PB I...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001332

    authors: Mohapatra S,Sharma A,Chari ST

    更新日期:2019-07-01 00:00:00

  • On the mechanisms of 12-O-tetradecanoylphorbol-13-acetate-induced growth arrest in pancreatic cancer cells.

    abstract:OBJECTIVES:Protein kinase C (PKC) is involved in cell growth, differentiation, and apoptosis. We investigated the effects of the PKC activator, the tetradecanylphorbol acetate (TPA), in human pancreatic cancer cells. METHODS:Cell proliferation was measured by thymidine incorporation. Expression of cell cycle proteins ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000226896.93945.41

    authors: Salabat MR,Ding XZ,Flesche JB,Ujiki MB,Robin TP,Talamonti MS,Bell RH Jr,Adrian TE

    更新日期:2006-08-01 00:00:00

  • Proinsulin Expressing Neuroendocrine Tumors of the Pancreas: An Underrecognized Entity.

    abstract:OBJECTIVES:Rare cases of pancreatic neuroendocrine tumors (PNETs) that produce only proinsulin (PI) and manifest with hypoglycemia have been reported. Proinsulin expression in PNET has not been systematically studied, and the clinicopathologic features of such tumors remain unknown. METHODS:We studied expression of PI...

    journal_title:Pancreas

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MPA.0000000000001196

    authors: Celli R,Tang LH,Cai G,Freedman-Weiss M,Colunga M,Salem RR,Majumdar S,Jain D

    更新日期:2019-01-01 00:00:00

  • Radioimmunoimaging of xenograft pancreatic cancer with 131I-monoclonal antibody P2.

    abstract::Monoclonal antibodies (McAbs) to pancreatic cancer were developed by fusing SP2/0 cells and splenocytes from Balb/c mice immunized with CH-2 cells. The specific binding rates of McAb P1 and P2 were 40.1 and 43.8%, respectively, shown by binding radioreactivity assay in vitro, which were in sharp contrast with those of...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199305000-00002

    authors: Yao CZ,Poston GJ,Ishizuka J,Townsend CM Jr,Thompson JC

    更新日期:1993-05-01 00:00:00

  • Acute pancreatitis: which patient is most at risk?

    abstract::This prospective study aimed to pinpoint acute pancreatic patients who are at a higher risk of clinical deterioration. Once identified, they can be given more costly intensive-care therapy or transferred promptly to hospitals with specialized equipment. Our study included 217 patients with acute pancreatitis. All of t...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:

    authors: Lankisch PG,Pflichthofer D,Lehnick D

    更新日期:1999-11-01 00:00:00

  • Expression of the beacon gene in the rat pancreatic islets: opposite effects of beacon (47-73) protein (ubiquitin-like protein 5) on insulin secretion in vivo and insulin release by isolated islets.

    abstract:OBJECTIVE:Beacon gene expression is elevated in the hypothalamus of the Israeli sand rat (Psammomys obesus), an animal that is used as a polygenic animal model of obesity and NIDDM. We performed studies aimed at investigating the expression of beacon mRNA and protein in pancreatic islets of the rat and the possible bea...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200408000-00003

    authors: Nowak KW,Ruciński M,Kaczmarek P,Szkudelski T,Malendowicz LK

    更新日期:2004-08-01 00:00:00

  • Characterization of a persistent inhibitory action of L-364,718 on cholecystokinin-stimulated enzyme secretion in pancreatic acini.

    abstract::Examining the actions of L-364,718 on rat pancreatic acini, we found that L-364,718 causes persistent inhibition of cholecystokinin (CCK)-8-stimulated enzyme secretion in acini that were first incubated with L-364,718, washed repeatedly, and then reincubated with CCK-8. This inhibition is maximal after as little as 5 ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199401000-00015

    authors: Bhat ST,Talkad VD,Pollo DA,Gardner JD

    更新日期:1994-01-01 00:00:00

  • Prevention of recurrent acute pancreatitis in patients with severe hypertriglyceridemia: value of regular plasmapheresis.

    abstract::The association between acute pancreatitis and severe hypertriglyceridemia has long been recognized. We report two cases of severe primary hypertriglyceridemia (types 1 and V) with recurrent acute pancreatitis. In both patients, observance of appropriate diet and drug therapy was insufficient. Recurrent episodes of pa...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199607000-00013

    authors: Piolot A,Nadler F,Cavallero E,Coquard JL,Jacotot B

    更新日期:1996-07-01 00:00:00

  • Analysis of K-ras codon 12 point mutations using duodenal lavage fluid for diagnosis of pancreatic carcinoma.

    abstract::We evaluated the diagnostic significance of the K-ras point mutations at codon 12 in duodenal lavage fluid (DLF) compared with pure pancreatic juice (PPJ). The DLF was easily and safely collected by injecting distilled water into the duodenum and then aspirating through the working channel of the endoscope during endo...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199903000-00004

    authors: Nakamura Y,Onda M,Uchida E

    更新日期:1999-03-01 00:00:00

  • Functional response of a limited beta-cell mass to long-term hyperglycemia.

    abstract::250 syngeneic islets were implanted either beneath the kidney capsule or into the liver of diabetic LEW 1.A rats to investigate the functional response of a limited mass of beta-cells to long-term hyperglycemia. The number of islets, per se, was expected to be insufficient to reverse the hyperglycemia. All animals wer...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199403000-00008

    authors: Dunger A,Kauert C,Brömme HJ,Hildebrandt W,Blech W,Hahn HJ

    更新日期:1994-03-01 00:00:00

  • Whipple's procedure plus intraoperative pancreatic duct occlusion for severe chronic pancreatitis: clinical, exocrine, and endocrine consequences during a 3-year follow-up.

    abstract::The present investigation provides follow-up data (up to 36 months) of exocrine and endocrine pancreatic function, inflammatory activity, pain, and body weight in 23 chronic pancreatitis patients submitted to Whipple's procedure plus intraoperative Ethibloc occlusion of the remaining pancreatic duct system between Jan...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198711000-00016

    authors: Schneider MU,Meister R,Domschke S,Zirngibl H,Strebl H,Heptner G,Gebhardt C,Gall FP,Domschke W

    更新日期:1987-01-01 00:00:00