CORRELATION BETWEEN PANCREATIC FAT DEPOSITION AND PANCREATIC FISTULA AFTER PANCREATICODUODENECTOMY (PD) drwangji@gmail.com

 

CORRELATION BETWEEN PANCREATIC FAT DEPOSITION AND PANCREATIC FISTULA AFTER PANCREATICODUODENECTOMY (PD)

2

China

Poster Exhibition only

Pancreatic fat deposition was measured by magnetic resonance chemical shift imaging (CSI), and the correlation between pancreatic fat deposition and pancreatic fistula after pancreaticoduodenectomy (PD) was analyzed.

A retrospective analysis was conducted on the data of 61 patients who underwent PD in the Affiliated Hospital of Xuzhou Medical University from September 2021 to April 2024.The differences in postoperative complications (pancreatic fistula, postoperative bleeding, abdominal infection, etc.) between the two groups were analyzed.

In the normal pancreas group, 10 cases (32.3%) had pancreatic fistula, including 9 cases (29.0%) of biochemical leakage and 1 case (3.2%) of grade B fistula. In the fatty pancreas group, 21 cases (70.0%) had pancreatic fistula, including 11 cases (36.7%) of biochemical leakage and 10 cases (33.3%) of grade B fistula. The overall incidence of pancreatic fistula and the incidence of grade B or higher pancreatic fistula in the fatty pancreas group were significantly higher than those in the normal pancreas group, with statistical significance (P < 0.05).

CSI technology can accurately and effectively measure pancreatic fat content, providing objective data support for the assessment of pancreatic texture and effectively predicting postoperative pancreatic fistula after PD.