相关实验视频
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在胰腺双管切除术后,需要进行终身整体随访
Mary E Phillips1, Graham Pinn2, Nariman D Karanjia2
1Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK; Department of Nutrition and Dietetics, Royal Surrey NHS Foundation Trust, Guildford, UK.
概括
胰腺双管切除术 (PD) 会导致频繁的长期手术,代谢和营养问题,超过80%的患者经历后果. 建议在PD后进行糖尿病和营养不良等并发症的常规查.
科学领域:
- 胃肠道学和外科瘤学
- 临床营养学 临床营养学
- 内分泌学 在内分泌学.
背景情况:
- 胰腺双管切除术 (PD) 是一种重大手术,已知短期影响.
- 在PD后的外科手术,代谢和营养后果的长期频率和性质仍然不完全理解.
研究的目的:
- 为了量化胰腺双管切除术 (PD) 后长期后果的发生率.
- 评估常规专家监测对PD后患者结局的影响.
主要方法:
- 一项观察性单中心研究,涉及134名接受PD的患者.
- 患者被提供由专门的营养学家和护士专家进行例行监测.
- 收集了关于手术,代谢和营养结果的数据,平均随访时间为4.48年.
主要成果:
- 82%的患者经历了长期后果,平均每患者2.02.
- 营养不良影响<10%,而>50%的患者在手术后2年内患上糖尿病.
- 胰腺素剂量随着时间的推移显著增加,并发症发作与手术后的时间相关.
结论:
- 这项研究提供了关于PD的长期 (>10年) 后果的第一个数据.
- 在PD后,定期长期查营养不良,糖尿病和其他并发症至关重要.
- 需要进行成本效益分析,以支持为全面的PD后护理提供资金.
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