유문보존췌십이지장절제술 후 ^(99m)Tc-DTPA Scan을 이용한 위 배출 양상에 대한 예비적 연구
A Preliminary Gastric Emptying Study Using ^(99m)Tc-DTPA Scan after Pylorus-Preserving Pancreatoduodenectomy
박성국, 이영철, 신현주, 김이수, 우영민, 조마해, 이봉화,
소속 상세정보
박성국 ( Park Sung-Kug )
한림대학교 의과대학 외과학교실
이영철 ( Lee Young-Cheol )
한림대학교 의과대학 외과학교실
신현주 ( Shin Hyeon-Joo )
한림대학교 의과대학 외과학교실
김이수 ( Kim Lee-Su )
한림대학교 의과대학 외과학교실
우영민 ( Woo Young-Min )
한림대학교 의과대학 일반외과학교실
조마해 ( Cho Ma-Hae )
한림대학교 의과대학 외과학교실
이봉화 ( Lee Bong-Wha )
한림대학교 의과대학 외과학교실
KMID : 0371320040660010033
Abstract
Purpose: Pylorus-preserving pancreatoduodenectomy (PPPD) is an alternative surgical procedure for periampullary lesions.
Early delayed gastric emptying is the most common and frustrating complication in the immediate postoperative period after PPPD and late delayed gastric emptying has been reported in some long-term follow-up studies. We evaluated the incidence of early delayed gastric emptying and analyzed temporal changes in gastrointestinal function after PPPD.
Methods: The incidence of early delayed gastric emptying was retrospectively evaluated from the medical records of 15 patients who underwent PPPD. Gastric emptying tests (GETs) using ^(99m)Tc_DTPA scan were performed on 11 of the patients every three months until 1 year, where possible.
Results: The incidence of early delayed gastric emptying was 6.7%. Five of the eight patients (62.5%) and six of the eight (75%) who underwent scintigraphy at 3 months and 6 months respectively, showed delayed gastric emptying. But at 12 months, all of the four patients who underwent GETs showed normal gastric emptyings.
Conclusion: The incidence of early delayed gastric emptying after PPPD was 6.7%. Though there were few symptoms in long-term follow-up study using ^(99m)Tc_DTPA scan, delayed gastric emptying was frequently observed 3 to 9 months after PPPD However, gastric emptying might be normalized in almost all patients around 1 year after PPPD.
키워드
유문보존췌십이지장절제술;위 배출 검사;위 배출 지연;Pylorus-preserving pancreatoduodenectomy;PPPD;Gatric emptying test;Delayed gastric emptying
원문 및 링크아웃 정보
등재저널 정보