Delayed gastric emptying after pancreaticoduodenectomy. Risk factors, predictors of severity and outcome. A single center experience of 588 cases

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Ayman El NakeebMohamed Abd Elwahab

Abstract

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. Demographic data, preoperative, intraoperative, and postoperative variables were collected. 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. Retrocolic GJ, DM, presence of complications, type of pancreatic reconstruction, and severity of POPF were independent significant risk fact...Continue Reading

Associated Clinical Trials

Jun 21, 2016·Ayman El Nakeeb

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Citations

Mar 26, 2016·Surgical Oncology Clinics of North America·Beth A HelminkAlexander A Parikh
Jun 13, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Toru NakamuraSatoshi Hirano
Dec 21, 2016·Digestive Diseases and Sciences·Savio G Barreto, John A Windsor
May 27, 2017·Journal of Hepato-biliary-pancreatic Sciences·Yasuro FutagawaKatsuhiko Yanaga
Dec 13, 2017·Gastroenterology Report·Guosheng Wu
Aug 29, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ayman El NakeebAmgad Zaghloul
Nov 4, 2017·World Journal of Gastroenterology : WJG·Ayman El NakeebMohamed Abdel Wahab
Jan 10, 2019·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Achiles Queiroz de Monteiro RezendeEverton Cazzo
Apr 16, 2021·World Journal of Surgical Oncology·Bradley R HallBradley N Reames
May 7, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Xu LiRenyi Qin
Apr 15, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Nobuyuki WatanabeMasato Nagino

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