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Model for early detection of clinically relevant pancreatic fistula after pancreaticoduodenectomy by analysis of cytokine in drainage fluid

Research Project

Project/Area Number 23592020
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Digestive surgery
Research InstitutionWakayama Medical University

Principal Investigator

KAWAI Manabu  和歌山県立医科大学, 医学部, 講師 (40398459)

Co-Investigator(Kenkyū-buntansha) YAMAUE Hiroki  和歌山県立医科大学, 医学部, 教授 (20191190)
TANI Masaji  和歌山県立医科大学, 医学部, 准教授 (60236677)
HIRONO Seiko  和歌山県立医科大学, 医学部, 助教 (60468288)
MIYAZAWA Motoki  和歌山県立医科大学, 医学部, 学内助教 (90549734)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2013: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2012: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2011: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords膵液瘻 / ドレーン排液 / サイトカイン / 網羅的解析 / 膵頭十二指腸切除術
Research Abstract

The aim is to evaluate cytokine predicting clinically relevant pancreatic fistula after pancreaticoduodenectomy. IL-1beta, IL-2, IL-4, IL-5, IL-6, IL-9, IL-10, IL-12, IL-13, IFN-gamma, and TNF-alpha as cytokine were measured on postoperative day (POD) 1, 3, and 4 in patients with pancreaticodupdenectomy. Clinically relevant pancreatic fistula was defined based on ISGPF classification. Clinically relevant pancreatic fistula occurred in 4 of 42(9.5%) patients. IL-9 in drainage fluid in patients with clinically relevant pancreatic fistula was 113+/-71pg/ml on POD 3 and 75.7+/-34.1pg/ml on POD4. On the other hand, IL-9 in drainage fluid in patients without clinically relevant pancreatic fistula was 22.4+/-22.9pg/ml on POD3 and 31.6+/-28.9pg/ml on POD 4. There were significant differences between patients with and without clinically relevant pancreatic fistula concerning to IL-9 in drainage fluid on POD 3 and 4.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (23 results)

All 2014 2013 2012 2011 Other

All Journal Article (7 results) (of which Peer Reviewed: 7 results) Presentation (9 results) (of which Invited: 1 results) Book (7 results)

  • [Journal Article] Stump closure of a thick pancreas using stapler closure increases pancreatic fistula after distal pancreatectomy.2013

    • Author(s)
      Kawai M, Tani M, Okada K, Hirono S, Miyazawa M, Shimizu A, Kitahata Y, Yamaue H.
    • Journal Title

      Am J Surg.

      Volume: 206 Issue: 3 Pages: 352-359

    • DOI

      10.1016/j.amjsurg.2012.11.023

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Surgical strategy for patients with pancreatic body/tail carcinoma: who should undergo distal pancreatectomy with en-bloc celiac axis resection?2013

    • Author(s)
      Okada K
    • Journal Title

      Surgery

      Volume: 153 Issue: 3 Pages: 365-372

    • DOI

      10.1016/j.surg.2012.07.036

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effect of Daikenchuto (TJ-100) on postoperative bowel motility and on prevention of paralytic ileus after pancreaticoduodenectomy: a multicenter, randomized, placebo-controlled phase II trial (the JAPAN-PD study).2013

    • Author(s)
      Okada K, Kawai M, Uesaka K, Kodera Y, Nagano H, Murakami Y, Morita S, Sakamoto J, Yamaue H;
    • Journal Title

      Jpn J Clin Oncol.

      Volume: 43 Issue: 4 Pages: 436-438

    • DOI

      10.1093/jjco/hyt005

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Use of omentum or falciform ligament does not decrease complications after pancreaticoduodenectomy: nationwide survey of the Japanese Society of Pancreatic Surgery.2012

    • Author(s)
      Tani M, Kawai M, Hirono S, Hatori T, Imaizumi T, Nakao A, Egawa S, Asano T, Nagakawa T, Yamaue H.
    • Journal Title

      Surgery

      Volume: 15 Pages: 183-191

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Predictive risk factors for clinically relevant pancreatic fistula analyzed in 1,239 patients with pancreaticoduodenectomy: multicenter data collection as a project study of pancreatic surgery by the Japanese Society of Hepato-Biliary-Pancreatic Surgery.2011

    • Author(s)
      Kawai M, Kondo S, Yamaue H, Wada K, Sano K, Motoi F, et al.
    • Journal Title

      Journal of Hepato- Biliary-Pancreatic Sciences

      Volume: 18 Pages: 601-608

    • NAID

      10029287839

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Pancreaticoduodenectomy versus pylorus- preserving pancreaticoduodenectomy: the clinical impact of a new surgical procedure; pylorus-resecting pancreaticoduodenectomy.2011

    • Author(s)
      Kawai M, Yamaue H
    • Journal Title

      Journal of Hepato- Biliary-Pancreatic Sciences

      Volume: 18 Pages: 755-761

    • NAID

      10030241145

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Pylorus ring resection reduces delayed gastric emptying in patients undergoing pancreatoduodenectomy: a prospective, randomized, controlled trial of pylorus-resecting versus pylorus-preserving pancreatoduodenectomy.2011

    • Author(s)
      Kawai M, Tani M, Hirono S, Miyazawa M, Shimizu A, Uchiyama K, Yamaue H
    • Journal Title

      Annals of Surgery

      Volume: 253 Pages: 495-501

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Presentation] 長期成績からみた幽門輪切除膵頭十二指腸切除 (PrPD)の意義2012

    • Author(s)
      川井 学、谷 眞至、廣野誠子、岡田健一、宮澤基樹、北畑裕司、上野昌樹、速水晋也、山上裕機
    • Organizer
      第112回日本外科学会大会
    • Place of Presentation
      千葉
    • Related Report
      2012 Research-status Report
  • [Presentation] 日本肝胆膵外科学会プロジェクト研究 【膵02研究】-膵頭十二指腸切除後膵液瘻の重症化因子検索-2011

    • Author(s)
      川井 学、近藤 哲 、山上裕機、ほか
    • Organizer
      第23回日本肝胆膵外科学会 【シンポジウム】
    • Place of Presentation
      東京
    • Related Report
      2011 Research-status Report
  • [Presentation] 膵頭十二指腸切除術後ドレーン管理と膵液瘻重症化因子2011

    • Author(s)
      川井 学、谷 眞至、廣野誠子、岡田健一、宮澤基樹、北畑裕司、上野昌樹、速水晋也、山上裕機
    • Organizer
      第73回日本臨床外科学会大会【パネルディスカッション】
    • Place of Presentation
      東京
    • Related Report
      2011 Research-status Report
  • [Presentation] エビデンスに基づいた術後合併症を減少させるための膵切除術

    • Author(s)
      川井 学、谷 眞至、廣野誠子、岡田健一、宮澤基樹、清水敦史、上野昌樹、速水晋也、山上裕機
    • Organizer
      第113回日本外科学会大会
    • Place of Presentation
      福岡
    • Related Report
      2013 Annual Research Report
  • [Presentation] 膵切除術後の感染制御とドレーン管理

    • Author(s)
      川井 学,谷 眞至,廣野誠子,岡田健一,宮澤基樹、清水敦史、
    • Organizer
      第25回日本肝胆膵外科学会
    • Place of Presentation
      栃木
    • Related Report
      2013 Annual Research Report
  • [Presentation] 【ビデオワークショップ】膵体尾部切除のおける膵切除-自動縫合器の利点と欠点-

    • Author(s)
      川井 学,谷 眞至,廣野誠子,岡田健一,宮澤基樹、清水敦史、北畑裕司、上野昌樹、速水晋也、山上裕機
    • Organizer
      第25回日本肝胆膵外科学会
    • Place of Presentation
      栃木
    • Related Report
      2013 Annual Research Report
  • [Presentation] 膵頭十二指腸切除における幽門輪切除の意義と胃排泄遅延症例の長期成績

    • Author(s)
      川井 学、谷 眞至,廣野誠子,岡田健一,宮澤基樹、清水敦史、北畑裕司,上野昌樹、速水晋也、山上裕機
    • Organizer
      第68回日本消化器外科学会総会
    • Place of Presentation
      宮崎
    • Related Report
      2013 Annual Research Report
  • [Presentation] エビデンスに基づいた膵臓外科の現状-臨床試験の結果から-

    • Author(s)
      川井 学、谷 眞至,廣野誠子,岡田健一,宮澤基樹、北畑裕司,清水敦史、上野昌樹、速水晋也、山上裕機
    • Organizer
      第67回日本消化器外科学会【特別企画】
    • Place of Presentation
      富山
    • Related Report
      2012 Research-status Report
  • [Presentation] PPPD is a better procedure than segmental bile duct resection for middle bile duct

    • Author(s)
      Kawai M and Yamaue H
    • Organizer
      7th International Single Topic Symposium of the Korean Association of HBP Surgery
    • Place of Presentation
      Korea
    • Related Report
      2012 Research-status Report
    • Invited
  • [Book] 膵頭十二指腸切除における幽門の処理 膵頭十二指腸切除における幽門の処理 「SSPPD;PrPD」の立場から2014

    • Author(s)
      川井 学、山上裕機
    • Total Pages
      6
    • Publisher
      臨床外科
    • Related Report
      2013 Annual Research Report
  • [Book] 膵切除後ドレーン管理の実際 予防的ドレーンの意義と至適抜去時期2013

    • Author(s)
      川井 学、山上裕機
    • Total Pages
      7
    • Publisher
      日本外科感染症学会雑誌
    • Related Report
      2013 Annual Research Report
  • [Book] 【消化器外科手術のエビデンス】 膵臓外科におけるエビデンス2013

    • Author(s)
      川井 学、山上裕機
    • Total Pages
      8
    • Publisher
      消化器外科
    • Related Report
      2013 Annual Research Report
  • [Book] 【最新 肝胆膵脾手術アトラス】 膵臓 膵頭十二指腸切除術2013

    • Author(s)
      川井 学、山上裕機
    • Total Pages
      6
    • Publisher
      手術
    • Related Report
      2013 Annual Research Report
  • [Book] Vater乳頭部癌における化学療法の現状2013

    • Author(s)
      川井 学、山上裕機
    • Total Pages
      4
    • Publisher
      癌と化学療法
    • Related Report
      2013 Annual Research Report
  • [Book] 【総説】膵頭十二指腸切除術クリニカルパスの実際とバリアンス要因2012

    • Author(s)
      川井 学、山上裕機
    • Total Pages
      6
    • Publisher
      胆と膵
    • Related Report
      2012 Research-status Report
  • [Book] 【総説】術前・術後管理必携:膵頭十二指腸切除2012

    • Author(s)
      川井 学、山上裕機
    • Total Pages
      6
    • Publisher
      消化器外科
    • Related Report
      2012 Research-status Report

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Published: 2011-08-05   Modified: 2019-07-29  

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