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An interventional study for the prevention and resolution of delayed gastric emptying following pancreaticoduodenectomy

Research Project

Project/Area Number 25462122
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

Kimura Yasutoshi  札幌医科大学, 医学部, 准教授 (80311893)

Co-Investigator(Kenkyū-buntansha) 今村 将史  札幌医科大学, 医学部, 講師 (00404608)
伊東 竜哉  札幌医科大学, 医学部, 助教 (10516636)
秋月 恵美  札幌医科大学, 医学部, 研究員 (20404626)
Project Period (FY) 2013-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2013: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywords膵頭十二指腸切除 / 胃排泄遅延 / Delayed gastric emptying / DGE / 食事摂取量 / 膵臓外科学 / 消化器外科学 / 膵頭十二指腸切除切除 / 六君子湯
Outline of Final Research Achievements

Randomized control trial was conducted to evaluate the clinical efficacy of Rikkunnsito(TJ-43) on reducing delayed gastric emptying(DGE) after pancreaticoduodenectomy. A total of 58 patients who scheduled for surgeries were enrolled to this study and randomized to either 26 patients for observation group or 27 patients for interventional group with administration of TJ-43 postoperatively, excluding 5 patients with drop out due to intraoperative finding not permitting the completion of surgeries. DGE developed in 4 patients of observational group(15.4%) and in 5 patients of TJ-43 group(18.5%). There was no significant difference between two groups(p=0.5437, chi-square test).
Rikkunnsito profilaxis for the prevention of DGE after pancreaticoduodenectomy was not proved to be efficient though this randomized control trial(UMIN000012052).

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (27 results)

All 2017 2016 2015 2014 2013 Other

All Journal Article (14 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 8 results,  Open Access: 5 results,  Acknowledgement Compliant: 5 results) Presentation (12 results) (of which Int'l Joint Research: 2 results) Book (1 results)

  • [Journal Article] Effects of antecolic versus retrocolic reconstruction for gastro/duodenojejunostomy on delayed gastric emptying after pancreatoduodenectomy: a systematic review and meta-analysis.2016

    • Author(s)
      Imamura M, Kimura Y, Ito T, Kyuno T, Nobuoka T, Mizuguchi T, Hirata K.
    • Journal Title

      J Surg Res

      Volume: 200 Issue: 1 Pages: 147-157

    • DOI

      10.1016/j.jss.2015.08.004

    • Related Report
      2016 Annual Research Report 2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Involvement of Pancreatic Stellate Cells in Regeneration of Remnant Pancreas after Partial Pancreatectomy.2016

    • Author(s)
      Ota S, Nishimura M, Murakami Y, Birukawa NK, Yoneda A, Nishita H, Fujita R, Sato Y, Minomi K, Kajiwara K, Miyazaki M, Uchiumi M, Mikuni S, Tamura Y, Mizuguchi T, Imamura M, Meguro M, Kimura Y, Hirata K, Niitsu Y.
    • Journal Title

      PLoS One.

      Volume: 11 Issue: 12 Pages: e0165747-e0165747

    • DOI

      10.1371/journal.pone.0165747

    • NAID

      120006534953

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 膵頭十二指腸切除後胃排出遅延に対する六君子湯投与とerythromycin投与の比較検討2016

    • Author(s)
      伊東竜哉
    • Journal Title

      Progress in Medicine

      Volume: 36 Pages: 1236-1237

    • Related Report
      2016 Annual Research Report
  • [Journal Article] 膵悪性腫瘍に対する手術;エビデンス、術式と適応の合理化、手術手技のエッセンス; 5. 上部消化管あるいは膵に対する手術既往のある症例に対する膵手術2015

    • Author(s)
      木村康利、今村将史、伊東竜哉、及能拓朗、信岡隆幸、目黒 誠、水口 徹、平田公一
    • Journal Title

      消化器外科

      Volume: 38 Pages: 57-67

    • Related Report
      2015 Research-status Report
  • [Journal Article] 膵臓外科のトピックス-膵癌に対する集学的治療の進歩-2015

    • Author(s)
      木村康利、今村将史、伊東竜哉、沖田憲司、目黒 誠、信岡隆幸、水口 徹、古畑智久、平田公一
    • Journal Title

      北海道外科学会雑誌

      Volume: 第100回記念号 Pages: 72-79

    • Related Report
      2015 Research-status Report
  • [Journal Article] 六君子湯投与の膵頭十二指腸切除術後胃排出遅延に与える影響2015

    • Author(s)
      伊東竜哉、木村康利,今村将史,目黒 誠,信岡隆幸,水口 徹,平田公一
    • Journal Title

      胆膵の病態生理

      Volume: 31 Pages: 35-42

    • NAID

      40020490745

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Remnant pancreas reconstruction with duct-to-duct anastomosis after middle pancreatectomy: a report of two cases.2015

    • Author(s)
      Ishii M, Kimura Y, Imamura M, Kyuno D, Ueki T, Uchiyama M, Mizuguchi T, Mukaiya M, Hirata K.
    • Journal Title

      Hepatogastroenterology

      Volume: 62 Pages: 190-194

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Successful hybrid treatment for huge visceral artery aneurysms with contained rupture complicating segmental arterial mediolysis2015

    • Author(s)
      Kimura Y, Ito T, Imamura M, and Hirata K
    • Journal Title

      Interact Cardiovasc Thorac Surg.

      Volume: 21 Pages: 814-816

    • DOI

      10.1093/icvts/ivv249

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Surgical and oncological impact of main pancreatic duct spread in invasive ductal adenocarcinoma: a clinicopathological study of 184 resected cases2015

    • Author(s)
      Ishii M, Kimura Y, Sugita S, Imamura M, Itoh T, Nobuoka T, Meguro M, Hasegawa T, Mizuguchi T, Hirata K
    • Journal Title

      Pancreatology

      Volume: 15 Issue: 6 Pages: 681-687

    • DOI

      10.1016/j.pan.2015.09.017

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Pancreatic regeneration: basic research and gene regulation.2015

    • Author(s)
      Okita K, Mizuguchi T, Shigenori O, Ishii M, Nishidate T, Ueki T, Meguro M, Kimura Y, Tanimizu N, Ichinohe N, Torigoe T, Kojima T, Mitaka T, Sato N, Sawada N, Hirata K.
    • Journal Title

      Surg Today

      Volume: 2015 Jul 7. Pages: 1-8

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] 【吻合・縫合手技のコツと注意点】 膵切除後再建 膵管・空腸吻合2013

    • Author(s)
      伊東 竜哉, 木村 康利, 目黒 誠, 西舘 敏彦, 石井 雅之, 信岡 隆幸, 今村 将史, 平田 公一
    • Journal Title

      消化器外科

      Volume: 36 Pages: 1471-1477

    • Related Report
      2013 Research-status Report
  • [Journal Article] 【胆道癌診療の最前線】 胆道癌の外科治療 中・下部胆管癌、Vater乳頭部癌2013

    • Author(s)
      大野 敬, 向谷 充宏, 三浦 亮, 鬼原 史, 及能 大輔, 今村 将史, 木村 康利, 平田 公一
    • Journal Title

      消化器外科

      Volume: 36 Pages: 1083-1094

    • Related Report
      2013 Research-status Report
  • [Journal Article] 消化管神経内分泌腫瘍の診断と外科治療2013

    • Author(s)
      木村康利、平田公一、今村将史、伊東竜哉、平川昌宏、信岡隆幸、古畑智久、加藤淳二、今村正之
    • Journal Title

      消化器外科

      Volume: 36 Pages: 1869-1881

    • Related Report
      2013 Research-status Report
  • [Journal Article] Pancreaticoduodenectomy for biliary tract carcinoma with situs inversus totalis: difficulties and technical notes based on two cases.2013

    • Author(s)
      Kyuno D, Kimura Y, Imamura M, Uchiyama M, Ishii M, Meguro M, Kawamoto M, Mizuguchi T, Hirata K
    • Journal Title

      World J Surg Oncol

      Volume: 11 Issue: 1 Pages: 312-312

    • DOI

      10.1186/1477-7819-11-312

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] 第2空腸動脈を基軸とする膵頭部癌の神経叢・間膜郭清の手技2016

    • Author(s)
      木村康利、今村将史、山口洋志、河野 剛、永山 稔、信岡隆幸、水口 徹、古畑智久、竹政伊知朗
    • Organizer
      第78回日本臨床外科学会総会
    • Place of Presentation
      グランドプリンスホテル新高輪国際館パミール(東京都港区)
    • Year and Date
      2016-11-24
    • Related Report
      2016 Annual Research Report
  • [Presentation] J2-artery Oriented Dissection of Meso-pancreatoduodenum and Upper Jejunum in Pancreaticoduodenectomy for Pancreatic Cancer.2016

    • Author(s)
      Yamaguchi H, Kimura Y, Imamura M, Nagayama M, Kyuno D, Kohno T, Mizuguchi T, Furuhata T and Takemasa I
    • Organizer
      40th World Congressof the International Collage of Surgeons(ICS)
    • Place of Presentation
      国立京都国際会館(京都府京都市)
    • Year and Date
      2016-10-23
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Effects of antecolic versus retrocolic reconstruction for gastro/duodenojejunostomy on delayed gastric emptying after pancreatoduodenectomy: a systematic review and meta-analysis.2016

    • Author(s)
      Imamura M, Kimura Y, Ito T, Kono T, Nobuoka T, Mizuguchi T, Takemasa I
    • Organizer
      The Joint Conference of IAP(International Association of Pancreatology) & JPS(Japan Pancreas Society) & AOPA(Asian-Oceanic Pancreatic Association) 2016
    • Place of Presentation
      仙台インターナショナルセンター(宮城県仙台市)
    • Year and Date
      2016-08-04
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 第2空腸動脈を基軸とする膵頭部癌の膵頭・十二指腸・上部空腸間膜リンパ節郭清とDPM陰性化手技2016

    • Author(s)
      木村康利、今村将史、伊東竜哉、河野 剛、信岡隆幸、中山健太、目黒 誠、西舘敏彦、沖田憲司、竹政伊知朗
    • Organizer
      第71回日本消化器外科学会総会
    • Place of Presentation
      あわぎんホール(徳島)
    • Year and Date
      2016-07-14
    • Related Report
      2016 Annual Research Report
  • [Presentation] Does the Rikkunsito administration prevent delayed gastric emptying after pancreaticoduodenectomy?2016

    • Author(s)
      Ito T, Kimura Y, Imamura Mi, Kono T, Nobuoka T, Mizuguchi T, Takemasa I
    • Organizer
      第71回日本消化器外科学会総会
    • Place of Presentation
      あわぎんホール(徳島)
    • Year and Date
      2016-07-14
    • Related Report
      2016 Annual Research Report
  • [Presentation] "術後アウトカム改善を目指した膵頭部縮小手術の手技2015

    • Author(s)
      木村康利、水口 徹、今村将史、伊東竜哉、及能拓郎、信岡隆幸、目黒 誠、古畑智久、平田公一
    • Organizer
      第70回日本消化器外科学会総会
    • Place of Presentation
      静岡県浜松市、ホテルクラウンパレス浜松
    • Year and Date
      2015-07-15
    • Related Report
      2015 Research-status Report
  • [Presentation] Oncological significance of microscopic lymphvascular invasion on the outcome of patients with pancreatoduodenal neuroendocrine tumor.2015

    • Author(s)
      木村康利、今村将史、伊東竜哉、及能拓朗、信岡隆幸、目黒 誠、水口 徹、平田公一
    • Organizer
      第27回日本肝胆膵外科学会・学術集会
    • Place of Presentation
      東京都港区、ホテル グランパシフィック LE DAIBA
    • Year and Date
      2015-06-11
    • Related Report
      2015 Research-status Report
  • [Presentation] 第2空腸動脈を基軸とする膵頭・十二指腸・上部空腸間膜郭清-バランスのとれたリンパ節郭清とDPM陰性化を企図して-2015

    • Author(s)
      木村康利、今村将史、伊東竜哉、及能拓郎、信岡隆幸、目黒 誠、水口 徹、古畑智久、平田公一
    • Organizer
      第115回日本外科学会定期学術集会
    • Place of Presentation
      愛知県名古屋市、名古屋国際会議場
    • Year and Date
      2015-04-16
    • Related Report
      2015 Research-status Report
  • [Presentation] Prospective consecutive analysis on the amount of dietary intake after pancreaticoduodenectomy; Is PPPD inferior to SSPPD in postoperative oral intake tolerance?2014

    • Author(s)
      Kimura Y, Imamura M, Meguro M, Itoh T, Nishidate T, Ishii M, Nobuoka T, Mizuguchi T and Hirata K
    • Organizer
      11th World Congress of the International Hepato-Pancreato-Biliary Association2014
    • Place of Presentation
      Seoul
    • Related Report
      2013 Research-status Report
  • [Presentation] 膵頭十二指腸切除術における幽門輪温存術式の術後短期摂食能に与える影響2013

    • Author(s)
      伊東竜哉、木村康利、目黒 誠、西舘敏彦、石井雅之、信岡隆幸、秋月恵美、今村将史、水口 徹、平田公一
    • Organizer
      第40回日本膵切研究会
    • Place of Presentation
      高松
    • Related Report
      2013 Research-status Report
  • [Presentation] 膵頭十二指腸切除術時の口側消化管切離部位の違いによる術後短期経口摂取能の変化

    • Author(s)
      伊東竜哉、木村康利、目黒 誠、西舘敏彦、石井雅之、信岡隆幸、秋月恵美、今村将史、水口 徹、平田公一
    • Organizer
      第30回日本胆膵病態・生理研究会
    • Place of Presentation
      仙台
    • Related Report
      2013 Research-status Report
  • [Presentation] プロペンシティ解析を用いた膵頭十二指腸切除術後アウトカムの比較研究

    • Author(s)
      安田尚美、木村康利、今村将史、伊藤竜哉、沖田憲司、信岡隆幸、水口 徹、古畑智久、平田公一
    • Organizer
      第104回日本臨床外科学会北海道支部例会
    • Place of Presentation
      札幌
    • Related Report
      2013 Research-status Report
  • [Book] 新世代の膵癌診療・治療バイブル2017

    • Author(s)
      木村康利、竹政伊知朗
    • Total Pages
      368
    • Publisher
      メディカ出版
    • Related Report
      2016 Annual Research Report

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Published: 2014-07-25   Modified: 2019-07-29  

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