INTRODUCTION: Pancreatic resection carries a theoretical risk of developing @entity6 ; however few studies have demonstrated the effect of a cephalic duodenopancreatectomy on post-operative blood @entity413 control. MATERIAL AND METHODS: An analysis was made of the post-operative clinical follow up of 70 @entity1 subjected to a cephalic duodenopancreatectomy in our Hospital between March 1993 and November 2009. The surgical indication was due to primary @entity660 in 30 @entity1 (21 @entity788 , 1 @entity9296 and 1 complicated pseudocyst). The pancreas was not affected in the other 40 @entity1 (24 @entity189 , 11 @entity201 , 3 duodenal @entity189 , 1 papillary @entity652 and 1 @entity1412 of the bile duct). Data on the pre- and post-operative @entity6 state were collected. RESULTS: Before resection, 49 @entity1 (70.0%) had a normal @entity413 without the need for treatment. Seventeen @entity1 required oral @entity6 treatment, 3 subcutaneous insulin, and only one was treated by diet. The duodenopancreatectomy worsened @entity413 control in 47.1% of the @entity1 (23 of the previously non-diabetics and 10 of those treated with oral diabetics). @entity413 control was worse when the surgical indication was due to primary involvement of the gland (progression of 63.3%) compared with @entity1 with disease (progression of 35.0%) (P<.05). CONCLUSIONS: Our results show that resection of the head of the pancreas favours the appearance of post-operative @entity6 , particularly when the surgical indication is due to primary pancreatic involvement.

[Blood @entity413 control and risk of progressing to a XXXX state during clinical follow up after cephalic duodenopancreatectomy].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity788 :: ('MESH:D010190', 'Disease') :: ['adenocarcinoma of the pancreas, 6 chronic pancreatitis, 1 endocrine carcinoma'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetic', 'diabetes'] @entity660 :: ('MESH:D010182', 'Disease') :: ['pancreatic disease'] @entity1412 :: ('MESH:D011125', 'Disease') :: ['adenomatous hyperplasia'] @entity189 :: ('MESH:D002277', 'Disease') :: ['carcinomas', 'ampullary carcinomas'] @entity201 :: ('MESH:D018281', 'Disease') :: ['cholangiocarcinomas'] @entity652 :: ('MESH:D000236', 'Disease') :: ['adenoma'] @entity9296 :: ('MESH:D003537', 'Disease') :: ['cystadenoma'] @entity413 :: ('MESH:D005947', 'Chemical') :: ['glucose', 'Glucose']
@entity6 :: (MESH:D003920,Disease) :: ['diabetic']
