caa a22 4500 477036120 CHVBK 20180405111305.0 cr unu---uuuuu 170330e19961001xx s 000 0 eng 10.1007/s002689900156 doi (NATIONALLICENCE)springer-10.1007/s002689900156 Estimation of Fat Absorption with the 13C-Trioctanoin Breath Test after Pancreatoduodenectomy or Pancreatic Head Resection [Elektronische Daten] [Shuichi Miyakawa, Makoto Hayakawa, Akihiko Horiguchi, Kenji Mizuno, Shin Ishihara, Naotatu Niwamoto, Kaoru Miura] Abstract. The aim of this study was to determine if fat absorption is better after pylorus-preserving pancreatoduodenectomy (PPPD) or duodenum-preserving pancreatic head resection (DPPHR) compared with that following pancreatoduodenectomy with gastrectomy (SPD), provided the patients have similar pancreatic exocrine function. Fat absorption was studied using the 13C-trioctanoin breath test in patients who were grouped according to the degree of fibrosis of the pancreatic remnant. The latter was judged by histologically measuring the fibrosis in a transectional wedge of resected pancreas. We evaluated 11 SPD cases, 25 PPPD cases, and 9 DPPHR cases. The 13C excretion rates and cumulative excretion values following DPPHR or PPPD were significantly better than those following SPD. The 13C excretion rates and cumulative values for the patients with > 30% fibrosis of the pancreas were lower than those in patients with < 30% pancreatic fibrosis, regardless of the surgical procedure. The cumulative value in the SPD group, however, was lower than that in the PPPD or DPPHR patients with < 30% pancreatic fibrosis. The results suggested that fat absorption following PPPD or DPPHR is superior to that after SPD in patients with the same fibrotic area of the pancreatic remnant and depends on the degree of fibrosis in the pancreatic remnant.: 1996 by the Société Internationale de Chir, ugie Miyakawa Shuichi Second Department of Gastroenterological Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutukake, Toyoake 470-11, Aichi, Japan, JP aut Hayakawa Makoto Second Department of Gastroenterological Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutukake, Toyoake 470-11, Aichi, Japan, JP aut Horiguchi Akihiko Second Department of Gastroenterological Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutukake, Toyoake 470-11, Aichi, Japan, JP aut Mizuno Kenji Second Department of Gastroenterological Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutukake, Toyoake 470-11, Aichi, Japan, JP aut Ishihara Shin Second Department of Gastroenterological Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutukake, Toyoake 470-11, Aichi, Japan, JP aut Niwamoto Naotatu Second Department of Gastroenterological Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutukake, Toyoake 470-11, Aichi, Japan, JP aut Miura Kaoru Second Department of Gastroenterological Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutukake, Toyoake 470-11, Aichi, Japan, JP aut https://doi.org/10.1007/s002689900156 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900156 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Miyakawa Shuichi Second Department of Gastroenterological Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutukake, Toyoake 470-11, Aichi, Japan, JP aut NATIONALLICENCE 700 1- Hayakawa Makoto Second Department of Gastroenterological Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutukake, Toyoake 470-11, Aichi, Japan, JP aut NATIONALLICENCE 700 1- Horiguchi Akihiko Second Department of Gastroenterological Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutukake, Toyoake 470-11, Aichi, Japan, JP aut NATIONALLICENCE 700 1- Mizuno Kenji Second Department of Gastroenterological Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutukake, Toyoake 470-11, Aichi, Japan, JP aut NATIONALLICENCE 700 1- Ishihara Shin Second Department of Gastroenterological Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutukake, Toyoake 470-11, Aichi, Japan, JP aut NATIONALLICENCE 700 1- Niwamoto Naotatu Second Department of Gastroenterological Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutukake, Toyoake 470-11, Aichi, Japan, JP aut NATIONALLICENCE 700 1- Miura Kaoru Second Department of Gastroenterological Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutukake, Toyoake 470-11, Aichi, Japan, JP aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer