Survival after pancreatoduodenectomy for periampullary adenocarcinoma

SSATA1513

April 2000

6833

6835

SHORTENING AND PRESERVATION OF INTESTINAL LENGTH THROUGH REPEATED OPERATIONS IN CROHN'S DISEASE. Yuj i Funayama, Hiroo Naito, Kohei Fukushima, Chikashi Shibata, Hitoshi Ogawa, Tatsuya Ueno, Akihiko Hashimoto, Taku Kitayama, Iwao Sasaki, Seiki Matsuno, Tohoku Univ Sch of Medicine, Sendai, Japan. BACKGROUND AND PURPOSE : In surgical treatment for Crohn ' s disease, short bowel syndrome as a result of repeated intestinal resection is a serious complication. Measuring the length of small intestine, we evaluated the prognosis and the shortening of intestine. METHODS: A total of 119 operations were performed ; initial operation was done in 66 patients (resection only in 33, combination with strictureplasty in 33), the second operation in 39, and the third operation in 14. Using a 5Ocm-Iong thread and a ruler, total length of small intestine and the site of disease was assessed just after laparotom y, and retained intestinal length was measured before closure. The length of resected small intestine was measured after fixation. For the control, the length of small intestine was measured in 26 patients with ulcerative colitis and 4 with familial polyposis coli. _ RESULTS: Total length of small intestine at initial operation was 439 :!: 113 (rnean z SD) cm, 289 :!: 83 em at the second operation, and 244 :!: 69 cm at the third operation . The extent of the disease and the length of resected intestine was significantly (p