Abstract
Background and Purpose: Pylorus-preserving pancreaticoduodenectomy is associated with a high incidence of delayed gastric emptying. The aim of this study was to determine the incidence and risk factors for delayed gastric emptying after this procedure. Methods: This retrospective study included 63 consecutive patients who received pylorus-preserving pancreaticoduodenectomy from July 1993 to Deccember 2002. The patients were divided in to 2 groups based on the presence of delayed gastric emptying. Preoperative indices, postoperative morbidity, nasogastric intubation, and hospital stay were compared. The risk factors for delayed gastric emptying were analyzed. Results: The postoperative incidence of delayed gastric emptying was 44% (28/63 patients). Multivariate analysis revealed that no preoperative biliary drainage, no cholestatic change in the liver and blood loss > 400 mL were significant risk factors for delayed gastric emptying. Conclusions: Pylorus-preserving pancreaticoduodenectomy is a safe procedure with a high incidence of delayed gastric emptying. Delicate surgical dissection to decrease blood loss and the extent of perigastric inflammation may be the key factor to prevent delayed gastric emptying.
| Original language | English |
|---|---|
| Pages (from-to) | 767-772 |
| Number of pages | 6 |
| Journal | Journal of the Formosan Medical Association |
| Volume | 103 |
| Issue number | 10 |
| Publication status | Published - 2004 Oct |
All Science Journal Classification (ASJC) codes
- General Medicine