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KMID : 0870420110150020123
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2011 Volume.15 No. 2 p.123 ~ p.127
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Pancreatic Diabetes after Distal Pancreatectomy: Incidence Rate and Risk Facto
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Kim Ka-Jeong
Jeong Chi-Young
Jeong Sang-Ho
Ju Young-Tae
Jung Eun-Jung
Lee Young-Joon
Choi Sang-Kyung
Ha Woo-Song
Park Soon-Tae
Hong Soon-Chan
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Abstract
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Purpose: Pancreatectomy can impair production of endocrine and exocrine hormones. In this study, we evaluated: 1) the incidence rate of diabetes in patients undergoing distal pancreatectomy; 2) the correlation between the occurrence of pancreatic diabetes and the extent of the resected pancreas; and 3) factors associated with the development of pancreatic diabetes.
Methods: We retrospectively reviewed the cases of 26 patients who could be compared in abdominal computed tomography before and after distal pancreatectomy for benign or malignant lesions between January, 1999 to June, 2010.
Results: The incidence of pancreatic diabetes was 19.2%. Obese patients (BMI＞25.0 kg/m2) had a higher incidence (p=0.029) of pancreatic diabetes after distal pancreatectomy than non-obese patients. The diabetes group had larger volumes of resected pancreas, but the difference was not statistically significant (p=0.105).
Conclusion: Several factors may be associated with the development of pancreatic diabetes after distal pancreatectomy. It is necessary to closely follow-up development of pancreatic diabetes regardless of the extent of resection.
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KEYWORD
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Pancreas, Diabetes mellitus, Postoperative diabetes, Distal pancreatectomy
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