https://scholars.lib.ntu.edu.tw/handle/123456789/457159
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | HUNG-HSUAN YEN | en_US |
dc.contributor.author | Ho, Te-Wei | en_US |
dc.contributor.author | CHIEN-HUI WU | en_US |
dc.contributor.author | TING-CHUN KUO | en_US |
dc.contributor.author | JIN-MING WU | en_US |
dc.contributor.author | CHING-YAO YANG | en_US |
dc.contributor.author | YU-WEN TIEN | en_US |
dc.creator | Yen H.-H.;Ho T.-W.;Wu C.-H.;Kuo T.-C.;Jin-Ming Wu;Yang C.-Y.;Tien Y.-W. | - |
dc.date.accessioned | 2020-02-11T01:41:50Z | - |
dc.date.available | 2020-02-11T01:41:50Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 1868-6974 | - |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85061814813&doi=10.1002%2fjhbp.606&partnerID=40&md5=5eff8194290bf4d6c9ee372429e0fb14 | - |
dc.identifier.uri | https://scholars.lib.ntu.edu.tw/handle/123456789/457159 | - |
dc.description.abstract | Background: The pancreatoenteric anastomotic stricture (PEAS) is a common long-term complication after pancreaticoduodenectomy (PD), some of which present as acute pancreatitis requiring emergency care. This important topic has never been reported. In this study, we focus on the incidence, radiological features, clinical outcome, and risk factors of late-occurring acute pancreatitis (LAP) after PD. Methods: We retrospectively reviewed a prospectively collected database of 539 patients who underwent PD at a single tertiary referral center between June 2005 and December 2014. Only patients with at least 3?years of follow-up and available pre- and post-operative images were included. Results: Of the 539 patients, 23 (15 [65%] with and eight [35%] without PEAS) were diagnosed with LAP after PD. The cumulative incidence of LAP was 3.6% (1-year), 4.4% (2-year), and 5.1% (5-year). The median time to the first LAP episode was 22?months (range 8–38?months) after PD. All the first and recurrent LAP events were mild in severity and resolved after conservative treatment. Multivariate analysis showed that a history of acute pancreatitis before PD (P?=?0.001, HR?5.24, 95% CI?1.95–14.10) and PEAS (P?=?0.047, HR?2.75, 95% CI?1.01–7.49) were two significant risk factors. Conclusions: We propose using a more conservative treatment for patients who experience LAP after PD. ? 2019 Japanese Society of Hepato-Biliary-Pancreatic Surgery | en_US |
dc.language.iso | en | en_US |
dc.publisher | Blackwell Publishing Asia | en_US |
dc.relation.ispartof | Journal of Hepato-Biliary-Pancreatic Sciences | en_US |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | acute pancreatitis; adult; aged; Article; clinical feature; cohort analysis; computer assisted tomography; conservative treatment; controlled study; disease severity; female; follow up; human; incidence; late occurring acute pancreatitis; major clinical study; male; nuclear magnetic resonance imaging; pancreaticoduodenectomy; pancreaticojejunostomy; parenteral nutrition; postoperative period; preoperative period; retrospective study; risk factor; acute disease; adverse event; anastomosis; jejunum; middle aged; pancreas; pancreas disease; pancreaticoduodenectomy; pancreatitis; stenosis, occlusion and obstruction; time factor; Acute Disease; Aged; Anastomosis, Surgical; Constriction, Pathologic; Female; Humans; Incidence; Jejunum; Male; Middle Aged; Pancreas; Pancreatic Diseases; Pancreaticoduodenectomy; Pancreatitis; Retrospective Studies; Risk Factors; Time Factors | - |
dc.title | Late acute pancreatitis after pancreaticoduodenectomy: incidence, outcome, and risk factors | en_US |
dc.type | journal article | en |
dc.identifier.doi | 10.1002/jhbp.606 | - |
dc.identifier.pmid | 30623589 | - |
dc.identifier.scopus | 2-s2.0-85061814813 | - |
dc.relation.pages | 109-116 | en_US |
dc.relation.journalvolume | 26 | en_US |
dc.relation.journalissue | 3 | en_US |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.openairetype | journal article | - |
item.languageiso639-1 | en | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
item.fulltext | no fulltext | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUHHC | - |
crisitem.author.dept | Traumatology-NTUH | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Traumatology-NTUH | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.orcid | 0000-0001-6178-6367 | - |
crisitem.author.orcid | 0000-0002-6382-1186 | - |
crisitem.author.orcid | 0000-0003-1960-1423 | - |
crisitem.author.orcid | 0000-0002-1821-239X | - |
crisitem.author.orcid | 0000-0001-6312-3719 | - |
crisitem.author.orcid | 0000-0002-9126-2705 | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | NTU Hsin-Chu Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
顯示於: | 醫學系 |
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