title: [Digestive physiopathology of the pancreatectomized patient. Comparison of the results of total pancreatectomy and pancreaticoduodenectomy with preservation of the pylorus].
abstract: The authors analyze their experience with pancreatectomy, pointing out the digestive pathophysiologic sequelae of the operated patients. A follow-up protocol based on upper digestive endoscopy, laboratory tests, scintigraphic and pH-metric tests compares the results achieved after total pancreatectomy with the results of pancreaticoduodenectomy. Total pancreatectomy is complicated by peptic ulcer, stump gastritis and gastroenteric dyskinesia. The preservation of the pylorus and the separation of the gastric anastomosis from the biliary one avoid the pathologic biliary reflux and minimize the functional and organic sequelae of the operation.
authors.forename: G
authors.initials: G
authors.lastname: De Bernardinis
authors.forename: A
authors.initials: A
authors.lastname: Agnifili
authors.forename: P
authors.initials: P
authors.lastname: Gola
authors.forename: F
authors.initials: F
authors.lastname: Gianfelice
authors.forename: D
authors.initials: D
authors.lastname: Ranalletta
authors.forename: A
authors.initials: A
authors.lastname: Onorato
authors.forename: I
authors.initials: I
authors.lastname: Ibi
authors.forename: M
authors.initials: M
authors.lastname: Carboni
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D001655:Bile Reflux / Q000209:etiology; D004386:Duodenum / Q000601:surgery*; D005756:Gastritis / Q000209:etiology; D005767:Gastrointestinal Diseases / Q000209:etiology*; D010180:Pancreatectomy / Q000009:adverse effects / Q000379:methods; D010190:Pancreatic Neoplasms / Q000601:surgery; D010437:Peptic Ulcer / Q000209:etiology; D011183:Postoperative Complications; D011708:Pylorus
vernacular_title: La fisiopatologia digestiva del paziente pancreatectomizzato. Confronto dei risultati tra pancreatectomia totale e duodenocefalopancreatectomia con conservazione del piloro.