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Clinical validation and risk factors for delayed gastric emptying based on the International Study Group of Pancreatic Surgery (ISGPS) Classification.

DC FieldValueLanguage
dc.contributor.author김재근-
dc.contributor.author박준성-
dc.contributor.author윤동섭-
dc.contributor.author이우정-
dc.contributor.author조신일-
dc.contributor.author지훈상-
dc.contributor.author황호경-
dc.date.accessioned2015-04-24T17:21:17Z-
dc.date.available2015-04-24T17:21:17Z-
dc.date.issued2009-
dc.identifier.issn0039-6060-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/105242-
dc.description.abstractBACKGROUND: Delayed gastric emptying (DGE) is one of the most common complications after pancreatoduodenectomy (PD). Because an objective, universally accepted definition of DGE does not yet exist, it is impossible to compare complication rates and outcomes of new operative approaches, operative techniques, and clinical trials. The International Study Group of Pancreatic Surgery (ISGPS) has proposed a universal classification for DGE based on clinical outcomes, but this classification has not been tested rigorously and applied to clinical data. Therefore, the aim of this study was to analyze our experience and to identify predictive factors for DGE by applying the ISGPS classification at a high-volume hospital. METHODS: From October 2002 to December 2007, 129 consecutive patients underwent PD at the Department of Surgery, Yonsei University Medical Center. The severity of DGE was determined according to the ISGPS classification, and risk factors were evaluated retrospectively. RESULTS: The overall incidence of DGE was 33.3%, with 16 (12.4%) patients having grade A, 14 (10.9%) grade B, and 13 (10.1%) grade C. Clinical outcomes worsened progressively as clinical relevant DGE increased. In multivariate analysis, clinically relevant pancreatic fistula (grade B/C) and patients with benign pathology were identified as independent factors for DGE. CONCLUSION: Pancreatic leakage is a serious complication after PD and is also associated with DGE. The ISGPS classification is a clear and useful tool to assess clinical outcomes.-
dc.description.statementOfResponsibilityopen-
dc.format.extent882~887-
dc.relation.isPartOfSurgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHFemale-
dc.subject.MESHGastric Emptying*-
dc.subject.MESHHospitals, University-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMultivariate Analysis-
dc.subject.MESHPancreaticoduodenectomy/adverse effects*-
dc.subject.MESHPostoperative Complications-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHStomach Diseases/classification-
dc.subject.MESHStomach Diseases/etiology*-
dc.titleClinical validation and risk factors for delayed gastric emptying based on the International Study Group of Pancreatic Surgery (ISGPS) Classification.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorJoon Seong Park-
dc.contributor.googleauthorHo Kyoung Hwang-
dc.contributor.googleauthorJae Keun Kim-
dc.contributor.googleauthorSin Il Cho-
dc.contributor.googleauthorDong-Sup Yoon-
dc.contributor.googleauthorWoo Jung Lee-
dc.contributor.googleauthorHoon Sang Chi-
dc.identifier.doi10.1016/j.surg.2009.05.012-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02993-
dc.contributor.localIdA00857-
dc.contributor.localIdA01672-
dc.contributor.localIdA02548-
dc.contributor.localIdA03848-
dc.contributor.localIdA03977-
dc.contributor.localIdA04497-
dc.relation.journalcodeJ02700-
dc.identifier.pmid19744455-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0039606009003262-
dc.contributor.alternativeNameKim, Jae Keun-
dc.contributor.alternativeNamePark, Joon Seong-
dc.contributor.alternativeNameYoon, Dong Sup-
dc.contributor.alternativeNameLee, Woo Jung-
dc.contributor.alternativeNameCho, Shin Il-
dc.contributor.alternativeNameChi, Hoon Sang-
dc.contributor.alternativeNameHwang, Ho Kyoung-
dc.contributor.affiliatedAuthorLee, Woo Jung-
dc.contributor.affiliatedAuthorKim, Jae Keun-
dc.contributor.affiliatedAuthorPark, Joon Seong-
dc.contributor.affiliatedAuthorYoon, Dong Sup-
dc.contributor.affiliatedAuthorCho, Shin Il-
dc.contributor.affiliatedAuthorChi, Hoon Sang-
dc.contributor.affiliatedAuthorHwang, Ho Kyoung-
dc.citation.volume146-
dc.citation.number5-
dc.citation.startPage882-
dc.citation.endPage887-
dc.identifier.bibliographicCitationSurgery, Vol.146(5) : 882-887, 2009-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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