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Model to predict the risk of intra-abdominal abscess after pancreaticoduodenectomy by analysis of cytokine in bile

Research Project

Project/Area Number 26462072
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, 准教授 (40398459)

Co-Investigator(Kenkyū-buntansha) 清水 敦史  和歌山県立医科大学, 医学部, 学内助教 (00637910)
山上 裕機  和歌山県立医科大学, 医学部, 教授 (20191190)
岡田 健一  和歌山県立医科大学, 医学部, 講師 (50407988)
谷 眞至  和歌山県立医科大学, 医学部, 准教授 (60236677)
廣野 誠子  和歌山県立医科大学, 医学部, 講師 (60468288)
宮澤 基樹  和歌山県立医科大学, 医学部, 助教 (90549734)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2014: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords膵頭十二指腸切除術 / 術後合併症 / 胆汁 / サイトカイン / 網羅的解析 / 胆道ドレナージ / 胆汁中サイトカイン / 胆管ドレナージ / 膵切除 / 膵切除後合併症 / 診断法
Outline of Final Research Achievements

The aim is to evaluate the impact of cytokine to predict intra-abdominal abscess after pancreaticoduodenectomy by analysis of cytokine in bile. Cytokine including IL-1α、IL-1β、IL-4、IL-6、IL-8、IL-10、IL-13、MCP-1、IFN-γ、TNF-α in bile which was collected intraoperatively were measured by global analysis. Levels of IL-1α、IL-1β、IL-4、and TNF-α in bile of patients with intra-abdominal abscess after pancreaticoduodenectomy were significantly higher than those of patients without intra-abdominal abscess. Furthermore studies should be required to detect cut-off levels of IL-1α、IL-1β、IL-4、and TNF-α in bile to predict the risk of intra-abdominal abscess after pancreaticoduodenectomy.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (8 results)

All 2016 2015 2014

All Journal Article (5 results) (of which Peer Reviewed: 3 results,  Open Access: 2 results) Presentation (3 results)

  • [Journal Article] Grade B pancreatic fistulas do not affect survival after pancreatectomy for pancreatic cancer: A multicenter observational study.2016

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

      Surgery

      Volume: xxx Issue: 2 Pages: 293-305

    • DOI

      10.1016/j.surg.2016.02.032

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 膵癌の外科治療:術式選択と周術期管理のエビデンス2015

    • Author(s)
      川井 学
    • Journal Title

      胆と膵

      Volume: 36 Pages: 825-829

    • Related Report
      2015 Research-status Report
  • [Journal Article] エビデンスに基づいた肝胆膵手術におけるERASプログラム.2015

    • Author(s)
      川井 学
    • Journal Title

      外科

      Volume: 77 Pages: 161-166

    • Related Report
      2015 Research-status Report
  • [Journal Article] Preoperative cholangitis during biliary drainage increases the incidence of postoperative severe complications after pancreaticoduodenectomy2014

    • Author(s)
      Yuji Kitahata, Manabu Kawai, Masaji Tani, et al.
    • Journal Title

      The American Journal of Surgery

      Volume: 208 Issue: 1 Pages: 1-10

    • DOI

      10.1016/j.amjsurg.2013.10.021

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 膵頭十二指腸切除前に減黄処置は必要か2014

    • Author(s)
      川井 学
    • Journal Title

      外科

      Volume: 76 Pages: 1227-1233

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 術後合併症ゼロを目指した安全確実な膵頭十二指腸切除術の術式と周術期管理に関する臨床試験2016

    • Author(s)
      川井学, 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, 宮本篤, 山上裕機
    • Organizer
      第71回日本消化器外科学会
    • Place of Presentation
      徳島県
    • Related Report
      2016 Annual Research Report
  • [Presentation] 【シンポジウム】膵頭十二指腸切除術後合併症を目指した術式および周術期管理の臨床試験2015

    • Author(s)
      川井 学
    • Organizer
      第70回日本消化器外科学会
    • Place of Presentation
      浜松
    • Year and Date
      2015-07-17
    • Related Report
      2015 Research-status Report
  • [Presentation] 術前胆管ドレナージを伴う膵頭十二指腸切除における適切な抗生剤使用方法2014

    • Author(s)
      川井 学、谷 眞至,廣野誠子,ほか
    • Organizer
      第114回 日本外科学会
    • Place of Presentation
      京都
    • Year and Date
      2014-04-03
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2018-03-22  

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