| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
|
|
タイトル |
Association between Enteral Nutrition and Chylous Ascites and Perioperative Management after Pancreaticoduodenectomy |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
chylous ascites |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
enteral nutrition |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
lipid intake |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
pancreaticoduodenectomy |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Tatsuoka, Teppei
Tajima, Hidehiro
Teramura, Eijiro
Kimura, Naoki
Hosoya, Haruo
Ishido, Hirotaka
Meguro, Soya
Takada, Musashi
Kawasaki, Keishi
Okuyama, Takashi
Yoshitomi, Hideyuki
|
| 書誌情報 |
en : Dokkyo Medical Journal
巻 4,
号 4,
p. 313-322,
発行日 2025-08-25
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| 記事種別 |
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|
値 |
Original |
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
We aimed to investigate whether chylous ascites is associated with enteral nutrition and postoperative complications in pancreaticoduodenectomy and assess perioperative management and treatment methods. This retrospective observational study included 98 patients who underwent pancreaticoduodenectomy between 2020 and 2022. The associations between enteral nutritional supplements and the occurrence of chylous ascites and between postoperative infectious complications and pancreatic leakage among patients with chylous ascites were compared. Chylous ascites occurred in 3/27 (11%), 5/5 (100%), and 18/66 (27%) of patients who received ELENTALⓇ, ISOCAL SupportⓇ, and HINEXⓇ, respectively (P < 0.05). The incidence of chylous ascites in the fat-containing (ISOCAL SUPPORTⓇ and HINEXⓇ) group was thrice that in the low-fat (ELENTALⓇ) group (P = 0.006). Pancreatic leakage was observed in 1/26 (3.8%) of patients in Group A (with chylous ascites) and 16/72 (22.2%) in Group B (without chylous ascites). Infectious complications of CD > 3a were observed in 8/26 (30.7%) patients in Group A and 34/72 (47.2%) in Group B. Group A had a lower frequency of pancreatic leakage (P = 0.03) and a similar rate of infectious complications (P = 0.25). The time to improvement in milk and chylous ascites was similar in the groups using no food, ELENTALⓇ, and octreotide (3 days [1-10 days]) and in the groups using a fat-restricted diet and ELENTALⓇ (4.5 days [4-5 days]). Chylous ascites was not associated with any serious postoperative complications. Lipid intake is a risk factor for chylous ascites. Lipid restriction enabled treatment without special drugs and with continued oral intake and enteral nutrition. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Dokkyo Medical Society |
| ISSN |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2436-522X |
| 書誌レコードID |
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収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12941861 |
| DOI |
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|
関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.51040/dkmj.2025-005 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
DKMJ-4-4-5.pdf (591 KB)
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