@article{oai:shiga-med.repo.nii.ac.jp:00004493,
 author = {前川, 毅 and 前平, 博充 and 飯田, 洋也 and 森, 治樹 and 新田, 信人 and 徳田, 彩 and 貝田, 佐知子 and 三宅, 亨 and 竹林, 克士 and 谷, 眞至 and MAEKAWA, Takeru and MAEHIRA, Hiromitsu and IIDA, Hiroya and MORI, Haruki and NITTA, Nobuhito and TOKUDA, Aya and KAIDA, Sachiko and MIYAKE, Toru and TAKEBAYASHI, Katsushi and TANI, Masaji},
 issue = {9},
 journal = {Pancreas},
 month = {Oct},
 note = {application/pdf, Objectives:
We investigated how preoperative sarcopenia and perioperative muscle mass changes affect postoperative nutritional parameters in patients undergoing pancreatectomy., Methods:
This study included 164 patients undergoing pancreatectomy between January 2011 and October 2018. Skeletal muscle area was measured by computed tomography before and 6 months after surgery. Sarcopenia was defined as the lowest sex-specific quartile, and patients with muscle mass ratios less than -10% were classified into the high-reduction group. We examined the relationship between perioperative muscle mass and postoperative nutritional parameters 6 months after pancreatectomy., Results:
There were no significant differences in nutritional parameters between the sarcopenia and nonsarcopenia groups at 6 months after surgery. In contrast, albumin (P < 0.001), cholinesterase (P < 0.001), and prognostic nutritional index (P < 0.001) were lower in the high-reduction group. According to each surgical procedure, albumin (P < 0.001), cholinesterase (P = 0.007), and prognostic nutritional index (P < 0.001) were lower in the high-reduction group of pancreaticoduodenectomy. In distal pancreatectomy cases, only cholinesterase (P = 0.005) was lower., Conclusions:
Postoperative nutritional parameters were correlated with muscle mass ratios but not with preoperative sarcopenia in patients undergoing pancreatectomy. Improvement and maintenance of perioperative muscle mass are important to maintain good nutritional parameters., Journal Article},
 pages = {1179--1185},
 title = {Impact of Preoperative Muscle Mass Maintenance and Perioperative Muscle Mass Loss Prevention After Pancreatectomy : Association Between Perioperative Muscle Mass and Postoperative Nutritional Status.},
 volume = {51},
 year = {2022}
}