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Updated: Jul 6, 2026

Modified Single-Loop Reconstruction for Pancreaticoduodenectomy
Published on: September 28, 2019
Long-term pancreatic endocrine function following pancreatoduodenectomy with pancreaticogastrostomy
Yoshiaki Murakami1, Kenichiro Uemura, Yasuo Hayashidani
1Department of Surgery, Division of Clinical Medical Science, Graduate School of Biomedical Sciences, Hiroshima University, Minami-ku, Hiroshima, Japan. mura777@hiroshima-u.ac.jp
Background And Objectives:
The aim of this study was to evaluate long-term pancreatic endocrine function following pancreatoduodenectomy with pancreaticogastrostomy.
Methods:
Records of 52 patients who had survived for three or more years following pancreatoduodenectomy with pancreaticogastrostomy were studied retrospectively. Serum HbA(1c) levels had been measured prior to and at 3- to 6-month intervals after surgery.
Results:
Three of 42 patients with normal preoperative serum HbA(1c) levels (
Conclusions:
Pancreatic endocrine function was maintained for a long-term period after pancreatoduodenectomy with pancreaticogastrostomy. Impaired glucose tolerance appeared to be associated with postoperative pancreatic fistula formation.
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