지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.91 No.5
- 발행연도
- 2016.11
- 수록면
- 254 - 259 (6page)
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초록· 키워드
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Purpose: We evaluated the efficacy of ultrasonography (US) in the early postoperative period after pancreaticoduodenectomy (PD) to diagnose postoperative-pancreatic-fistula (POPF). Early diagnosis is important to prevent POPF-dependent mortality after PD. The value of radiological modalities for early diagnosing POPF is not clear.
Methods: Forty-five patients who underwent transabdominal-US in the first postoperative week after PD were retrospectively evaluated. Two types of grouping methods were performed. Firstly, peripancreatic or perianastomotic fluid collections at least 2 cm in diameter were considered to be a primary positive result on US. Patients then divided into 2 groups: group 1, US-positive and group 2, US-negative. Secondly, to increase the power of US, in addition to primary positive results, the presence of fever, leukocytosis or hyperamylasemia was considered to be a secondary positive result (group 1S). The remaining patients were considered to have secondary negative results (group 2S). The sensitivity and specificity for both grouping methods were calculated for the diagnosis of PF and clinically important PF (ciPF), according to the International Study Group on Pancreatic Fistula criteria.
Results: For the first grouping method, the sensitivity was 36% and 28% and the specificity was 80% and 85% for PF and ciPF, respectively. For the second grouping method, the sensitivity was 36% and 29% and the spesificity was 74% and 81% for PF and ciPF, respectively. The unloculated fluid collections were not related to a significant increase in the risk of POPF (P = 0.694).
Conclusion: Abdominal-US has low sensitivity and high specificity for the early diagnosis of POPF after PD.
Methods: Forty-five patients who underwent transabdominal-US in the first postoperative week after PD were retrospectively evaluated. Two types of grouping methods were performed. Firstly, peripancreatic or perianastomotic fluid collections at least 2 cm in diameter were considered to be a primary positive result on US. Patients then divided into 2 groups: group 1, US-positive and group 2, US-negative. Secondly, to increase the power of US, in addition to primary positive results, the presence of fever, leukocytosis or hyperamylasemia was considered to be a secondary positive result (group 1S). The remaining patients were considered to have secondary negative results (group 2S). The sensitivity and specificity for both grouping methods were calculated for the diagnosis of PF and clinically important PF (ciPF), according to the International Study Group on Pancreatic Fistula criteria.
Results: For the first grouping method, the sensitivity was 36% and 28% and the specificity was 80% and 85% for PF and ciPF, respectively. For the second grouping method, the sensitivity was 36% and 29% and the spesificity was 74% and 81% for PF and ciPF, respectively. The unloculated fluid collections were not related to a significant increase in the risk of POPF (P = 0.694).
Conclusion: Abdominal-US has low sensitivity and high specificity for the early diagnosis of POPF after PD.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (15)
참고문헌 신청
[학술지(정기간행물)] - Bassi C. / 2005 / Postoperative pan creatic fistula : an international study group(ISGPF)definition / Surgery 138 : 8 ~ 13
[학술지(정기간행물)] - Raman SP. / 2013 / CT after pancreatic oduodenec tomy : spectrum of normal findings and complications / AJR Am J Roentgenol 201 : 2 ~ 13
[학술지(정기간행물)] - Machado NO / 2012 / Pancreatic fistula after pancreatectomy : definitions, risk factors, preventive measures, and managementreview / Int J Surg Oncol 2012 : 602478 ~
[학술지(정기간행물)] - DeOliveira ML. / 2006 / Assessment of complications after pancreatic surgery : a novel grading system applied to 633 patients undergoing pancreaticoduodenectomy / Ann Surg 244 : 931 ~ 937
[학술지(정기간행물)] - Strasberg SM. / 2007 / Proposal for definition and severity grading of pancreatic anastomosis failure and pancreatic occlusion failure / Surgery 141 : 420 ~ 426
[학술지(정기간행물)] - Raman SP. / 2013 / CT after pancreatic oduodenec tomy : spectrum of normal findings and complications / AJR Am J Roentgenol 201 : 2 ~ 13
[학술지(정기간행물)] - Machado NO / 2012 / Pancreatic fistula after pancreatectomy : definitions, risk factors, preventive measures, and managementreview / Int J Surg Oncol 2012 : 602478 ~
[학술지(정기간행물)] - DeOliveira ML. / 2006 / Assessment of complications after pancreatic surgery : a novel grading system applied to 633 patients undergoing pancreaticoduodenectomy / Ann Surg 244 : 931 ~ 937
[학술지(정기간행물)] - Strasberg SM. / 2007 / Proposal for definition and severity grading of pancreatic anastomosis failure and pancreatic occlusion failure / Surgery 141 : 420 ~ 426
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