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1. 汗孔角化症 porokeratosis

English Journal

Severe duodenal involvement in familial adenomatous polyposis treated by pylorus-preserving pancreaticoduodenectomy.

Caillié F, Paye F, Desaint B, Bennis M, Lefèvre JH, Parc Y, Svrcek M, Balladur P, Tiret E.SourceDepartment of Digestive Surgery, Hôpital Saint Antoine, Paris, France.
Annals of surgical oncology.Ann Surg Oncol.2012 Sep;19(9):2924-31. Epub 2012 Feb 4.
PURPOSE: Pancreaticoduodenectomy is an alternative to pancreas-sparing duodenectomy for radical treatment of duodenal lesions. The aims of this study were to assess the results of pylorus-preserving pancreaticoduodenectomy (PPPD) for severe duodenal polyposis in familial adenomatous polyposis in ter
PMID 22311120

Manometric Evidence of Earlier Recovery of Fasting Gastric Motility after Antecolic Duodenojejunostomy than after Retrocolic Duodenojejunostomy following PPPD.

Tanabe R, Ohtsuka T, Miyatake E, Kawamoto M, Nakamura M, Takahata S, Tanaka M.AbstractBackgrounds/Aims: Gastric stasis is a unique complication of pylorus-preserving pancreatoduodenectomy (PPPD). Although some studies reported less prevalence of gastric stasis after antecolic duodenojejunostomy, there have been no reports on detailed comparison of gastric motility after antecolic vs. retrocolic duodenojejunostomy after PPPD. Methodology: Thirty-six patients underwent PPPD with the modified Child reconstruction. Retrocolic duodenojejunostomy was utilized in initial 13 patients (retrocolic group). For comparison, antecolic duodenojejunostomy was employed in subsequent 23 patients (antecolic group). A manometric tube assembly was inserted into the gastric antrum and jejunum during PPPD. Gastrointestinal motility was recorded for 3 hours a day, starting on 6 to 14 days after surgery and repeated at a weekly interval until the first appearance of phase 3 gastric motility. Various clinical parameters were also assessed. Results: Recovery of gastric phase 3 was identified in 19 of 36 patients. Recovery of phase 3 was faster in antecolic group than in retrocolic group (p<0.01). The amount of the gastric juice output during 14 postoperative days was larger in retrocolic group than in antecolic group (p<0.01). Resumption of water intake and food intake was earlier and the length of intravenous hyperalimentation and hospital stay was shorter in antecolic group than in retrocolic group (p<0.05). Conclusions: Antecolic duodenojejunostomy contributes to early recovery of gastric phase 3 motility in patients after PPPD, leading to prevention of early gastric stasis.
Hepato-gastroenterology.Hepatogastroenterology.2012 Sep;59(118):1981-5. doi: 10.5754/hge10725.
Backgrounds/Aims: Gastric stasis is a unique complication of pylorus-preserving pancreatoduodenectomy (PPPD). Although some studies reported less prevalence of gastric stasis after antecolic duodenojejunostomy, there have been no reports on detailed comparison of gastric motility after antecolic vs.
PMID 22819918

Japanese Journal

幽門輪温存膵頭十二指腸切除術(PPPD)後の残胃の癌発生に関する臨床病理組織学的検討

古川健司,西川俊郎,桂川秀雄,山本雅一
東京女子医科大学雑誌 81(1), 13-22, 2011-02-25
… [目的]:膵頭部領域疾患に対し適応される幽門輪温存膵頭十二指腸切除術(PPPD)症例では、胆汁を含む十二指腸液胃内逆流(duodenuogastric reflux:DGR)により胃に異時性に癌が発生すると考えられてきた。 … そこで、PPPD後に経験した胃癌症例について、H.pylori感染とDGRの2つの点から、PPPD後の胃粘膜の状態について、病理組織学的に検討した。 …
NAID 110008426932

手術症例報告手術に一工夫を施した慢性膵炎の2例

島元裕一,菰方輝夫,海江田衛 [他]
手術 65(5), 637-640, 2011-05
NAID 40018836976

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