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Modified Single-Loop Reconstruction for Pancreaticoduodenectomy
Published on: September 28, 2019
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Postoperative Changes in Body Composition After Pancreaticoduodenectomy Using Multifrequency Bioelectrical Impedance
Manabu Mikamori1,2, Atsushi Miyamoto1, Tadafumi Asaoka1,2
1Department of Gastroenterological Surgery, National Hospital Organization Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka, 540-0006, Japan.
Summary
Surgical procedures like pancreaticoduodenectomy (PD), distal gastrectomy (DG), and total gastrectomy (TG) significantly impact body composition. Multifrequency bioelectrical impedance analysis effectively tracks these long-term changes.
Area of Science:
- Surgical oncology
- Nutritional science
- Body composition analysis
Background:
- Nutritional status is a critical factor influencing surgical outcomes.
- Understanding post-surgical body composition changes is vital for patient recovery.
Purpose of the Study:
- To compare long-term body composition changes in patients after pancreaticoduodenectomy (PD), distal gastrectomy (DG), or total gastrectomy (TG).
Main Methods:
- Sixty patients underwent body composition analysis using multifrequency bioelectrical impedance analysis (BIA).
- Measurements were taken preoperatively and 12 months post-surgery.
- Patients with recurrence or undergoing chemotherapy were excluded.
Main Results:
- Pancreaticoduodenectomy (PD) patients showed significantly less body weight loss compared to total gastrectomy (TG) and distal gastrectomy (DG) patients at 12 months.
- Body weight changes correlated with fat mass changes across all surgical groups.
- Significant differences in body weight change were observed between PD and TG (p<0.01) and PD and DG (p<0.05).
Conclusions:
- The type and extent of gastrectomy surgery differentially affect long-term body weight and composition.
- Bioelectrical impedance analysis is a valuable tool for assessing body composition and nutritional status in post-gastrectomy patients.
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