@article{oai:shiga-med.repo.nii.ac.jp:00003709, author = {前平, 博充 and 飯田, 洋也 and 前川, 毅 and 安川, 大貴 and 森, 治樹 and 竹林, 克士 and 貝田, 佐知子 and 三宅, 亨 and 松原, 亜季子 and 谷, 眞至 and MAEHIRA, Hiromitsu and IIDA, Hiroya and MAEKAWA, Takeru and YASUKAWA, Daiki and MORI, Haruki and TAKEBAYASHI, Katsushi and KAIDA, Sachiko and MIYAKE, Toru and MATSUBARA, Akiko and TANI, Masaji}, journal = {HPB : the official journal of the International Hepato Pancreato Biliary Association}, month = {Oct}, note = {Background: Nonalcoholic fatty liver disease (NAFLD) is a late complication of pancreaticoduodenectomy (PD). However, this complication is difficult to predict preoperatively. This study aimed to assess the association between NAFLD and preoperative computed tomography (CT) findings., Methods: Medical records of 112 patients who had undergone PD and had CT scans preoperatively and 6 months postoperatively were retrospectively reviewed. We evaluated several CT findings, including the CT attenuation value of the remnant pancreas, remnant pancreatic volume (RPV), and the estimated functional remnant pancreatic volume (eFRPV) on preoperative CT. The variables, including the CT findings and histopathological findings, were compared between the patients with and without NAFLD after PD., Results: The NAFLD group included 21 patients (18.8%). The CT attenuation value of the remnant pancreas was correlated with the pancreatic acinar cell density (r = 0.537), and was lower in the NAFLD group than in the non-NAFLD group (p = 0.007). The eFRPV was lower in the NAFLD group than in the non-NAFLD group (p = 0.002). An eFRPV ≤47 mL·HU was an independent predictive factor for NAFLD (p = 0.007; odds ratio: 6.73; 95% confidence interval: 1.70-26.70)., Conclusion: The eFRPV can be used to preoperatively predict NAFLD after PD., Journal Article}, title = {Estimated functional remnant pancreatic volume predicts nonalcoholic fatty liver disease after pancreaticoduodenectomy : use of computed tomography attenuation value of the pancreas.}, year = {2020} }