Delayed gastric emptying after pylorus-preserving pancreaticoduodenectomy

Yan Shen Shan, Yu Hsiang Hsieh, Edgar D. Sy, Pin Wen Lin

研究成果: Article同行評審

4 引文 斯高帕斯(Scopus)


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.

頁(從 - 到)767-772
期刊Journal of the Formosan Medical Association
出版狀態Published - 2004 10月

All Science Journal Classification (ASJC) codes

  • 一般醫學


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