The DOI matches its Crossref record.
Pancreatic insufficiency after different resections for benign tumours
Open accessAbstract
Background: Pancreatic resections for benign diseases may lead to long-term endocrine/exocrine impairment. The aim of this study was to compare postoperative and long-term results after different pancreatic resections for benign disease. Methods: Between 1990 and 1999, 62 patients underwent pancreaticoduodenectomy (PD), 36 atypical resection (AR) and 64 left pancreatectomy (LP) for benign tumours. Exocrine and endocrine pancreatic function was evaluated by 72-h faecal chymotrypsin and oral glucose tolerance test. Results: The incidence of pancreatic fistula was significantly higher after AR than after LP (11 of 36 versus seven of 64; P = 0·028). The long-term incidence of endocrine pancreatic insufficiency was significantly lower after AR than after PD (P < 0·001). Exocrine insufficiency was more common after PD (P < 0·001) and LP (P = 0·009) than after AR. The probability of developing both endocrine and exocrine insufficiency was higher for PD and LP than for AR (32, 27 and 3 per cent respectively at 1 year; 58, 29 and 3 per cent at 5 years; P < 0·001). Conclusion: Different pancreatic resections are associated with different risks of developing long-term pancreatic insufficiency. AR represents the best option in terms of long-term endocrine and exocrine function, although it is associated with more postoperative complications.
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Cited by
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Self-citationTumor size correlates with malignancy in nonfunctioning pancreatic endocrine tumor
Bettini, R., Partelli, S., Boninsegna, L., Capelli, P., Crippa, S., Pederzoli, P., Scarpa, A., & Falconi, M. (2011) · Surgery · doi:10.1016/j.surg.2011.02.022 · Cited by 358
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Lee, L. C., Grant, C. S., Salomao, D. R., Fletcher, J. G., Takahashi, N., Fidler, J. L., Levy, M. J., & Huebner, M. (2012) · Surgery · doi:10.1016/j.surg.2012.08.038 · Cited by 269
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New-onset Diabetes After Distal Pancreatectomy: A Systematic Review
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Metadata
- Authors
- Falconi, M., Mantovani, W., Crippa, S., Mascetta, G., Salvia, R., & Pederzoli, P.
- Venue
- Journal of British Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-01-01
- Volume
- 95
- Issue
- 1
- Pages
- 85-91
- ISSN
- 0007-1323 (ISSN-L)
- 1365-2168
- OpenAlex
- W2058319525
- Cited by
- 251
- References
- 0
- FWCI
- 4.07
- Type
- journal article
- Language
- en
- Open access
- bronze
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