BACKGROUND: Delayed gastric emptying (DGE) is a common complication after pancreaticoduodenectomy (PD). This study was designed to evaluate perioperative risk variables for DGE after PD and analyze the factors that predict its severity. PATIENTS AND METHOD: Demographic data, preoperative, intraoperative, and postoperative variables were collected. RESULTS: A total of 588 consecutive patients underwent PD. One hundred and five patients (17.9 %) developed DGE of any type. Forty-three patients (7.3 %) had a type A, 53 patients (9.01 %) had DGE type B, and the remaining nine patients (1.5 %) had DGE type C. BMI > 25, diabetes mellitus (DM), preoperative biliary drainage, retrocolic reconstruction, type of pancreatic reconstruction, presence of complications, postoperative pancreatic fistula (POPF), and bile leaks were significantly associated with a higher incidence of DGE. Thirty-three (31.4 %) patients were diagnosed as primary DGE, while 72 (68.5 %) patients had DGE secondary to concomitant complications. Type B and C DGE were significantly noticed in secondary DGE (P = 0.04). Hospital stay was significantly shorter in primary DGE. CONCLUSION: Retrocolic GJ, DM, presence of complications, type of pancreatic reconstruction, and severity of POPF were independent significant risk factors for development of DGE. Type B and C DGE were significantly more in secondary DGE.
BACKGROUND: Delayed gastric emptying (DGE) is a common complication after pancreaticoduodenectomy (PD). This study was designed to evaluate perioperative risk variables for DGE after PD and analyze the factors that predict its severity. PATIENTS AND METHOD: Demographic data, preoperative, intraoperative, and postoperative variables were collected. RESULTS: A total of 588 consecutive patients underwent PD. One hundred and five patients (17.9 %) developed DGE of any type. Forty-three patients (7.3 %) had a type A, 53 patients (9.01 %) had DGE type B, and the remaining nine patients (1.5 %) had DGE type C. BMI > 25, diabetes mellitus (DM), preoperative biliary drainage, retrocolic reconstruction, type of pancreatic reconstruction, presence of complications, postoperative pancreatic fistula (POPF), and bile leaks were significantly associated with a higher incidence of DGE. Thirty-three (31.4 %) patients were diagnosed as primary DGE, while 72 (68.5 %) patients had DGE secondary to concomitant complications. Type B and C DGE were significantly noticed in secondary DGE (P = 0.04). Hospital stay was significantly shorter in primary DGE. CONCLUSION: Retrocolic GJ, DM, presence of complications, type of pancreatic reconstruction, and severity of POPF were independent significant risk factors for development of DGE. Type B and C DGE were significantly more in secondary DGE.
Authors: John W Kunstman; Annabelle L Fonseca; Maria M Ciarleglio; Xiangyu Cong; Abby Hochberg; Ronald R Salem Journal: J Gastrointest Surg Date: 2012-03-27 Impact factor: 3.452
Authors: Steven N Hochwald; Stephen R Grobmyer; Alan W Hemming; Eleanor Curran; David A Bloom; Matthew Delano; Kevin E Behrns; Edward M Copeland; Stephen B Vogel Journal: J Surg Oncol Date: 2010-04-01 Impact factor: 3.454
Authors: Ayman El Nakeeb; Waleed Askar; Ehab Atef; Ehab El Hanafy; Ahmad M Sultan; Tarek Salah; Ahmed Shehta; Mohamed El Sorogy; Emad Hamdy; Mohamed El Hemly; Ahmed A El-Geidi; Tharwat Kandil; Mohamed El Shobari; Talaat Abd Allah; Amgad Fouad; Mostafa Abu Zeid; Ahmed Abu El Eneen; Nabil Gad El-Hak; Gamal El Ebidy; Omar Fathy; Ahmed Sultan; Mohamed Abdel Wahab Journal: World J Gastroenterol Date: 2017-10-14 Impact factor: 5.742
Authors: Anneke P J Jilesen; Casper H J van Eijck; K H in't Hof; S van Dieren; Dirk J Gouma; Els J M Nieveen van Dijkum Journal: World J Surg Date: 2016-03 Impact factor: 3.352