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- W4200235988 abstract "膵全摘では周術期血糖・栄養管理が重要である．12年間の膵全摘32例の周術期血糖・栄養状態を検討した．一期的・二期的膵全摘は各々16例で計48病変の約80％を膵管内乳頭粘液性腫瘍と浸潤性膵管癌が占めた．5年生存率は60.2％，一期的・二期的膵全摘で差はなかった．HbA1cは術前6.7％，術後1年は7.7％と上昇，prognostic nutritional index（PNI）は術前47.8，術後1年は43.0と低下した．予後因子を単変量解析すると術後1年neutrophil-lymphocyte ratio，術前platelet-lymphocyte ratio，術後1年PNIが抽出され，多変量解析では術後1年PNIが有意な因子であった．術後1年PNI 40.5未満は予後不良で，高力価パンクレアチン製剤投与群は予後良好であった．膵全摘後は正しい病態把握のもとに内外分泌治療を行うことが重要である．" @default.
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- W4200235988 date "2021-12-28" @default.
- W4200235988 modified "2023-09-27" @default.
- W4200235988 title "Perioperative glycemic and nutritional management of 32 patients undergoing total pancreatectomy" @default.
- W4200235988 doi "https://doi.org/10.2958/suizo.36.351" @default.
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