J Korean Radiol Soc.  1994 Jul;31(1):115-118.

Change in Pancreatic Size after Gastric Resection: CT Evaluation

• Kwak BK
• Kim YG
• Ryu DS
• Lee JB
• Shim HJ
• Song IS
• Park MS
• Lee YC

Abstract

PURPOSE
The purpose of this study is to evaluate the change of pancreatic size after gastric resection in patients with gastric malignancy.
MATERIALS AND METHODS
We compared the pancreatic sizes on pre- and post-operative abdominal CT scans in 50 patients whose stomach had been resected due to malignancy. The mean interval was 20.3 months (range, 5-81 months). The types of the operation were total gastrectomy with esophagojejunostomy and jejunojejunostomy (n=7), and subtotal gastrectomy with gastrojejunostomy (Billroth II) (n=43). Pancreatic thickness was measured perpendicular to the pancreatic long axis at head, body and tail. RESULT: There was a significant reduction of pancreatic size on postoperative CT scan. The reduction rate was 5.9% in the head (p<0.001), 7.1% in the body (p<0.001) and 14.4% in the tail (p<0.001).
CONCLUSION
Significant reduction of pancreatic size was observed after gastric resection due to gastric rnalignancy, especially in tail.

MeSH Terms

Axis, Cervical Vertebra
Gastrectomy
Gastric Bypass
Head
Humans
Stomach
Tomography, X-Ray Computed