Risk factors of delayed gastric emptying after pancreaticoduodenectomy
10.3760/cma.j.issn.1007-8118.2014.10.008
- VernacularTitle:胰十二指肠切除术后胃排空延迟的危险因素
- Author:
Qiyu LIU
;
Li LI
;
Hongtian XIA
;
Wenzhi ZHANG
;
Shouwang CAI
;
Zhiwei LIU
;
Jianjun LENG
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Delayed gastric emptying;
Complication;
Pancreatic fistula;
Pylorus
- From:
Chinese Journal of Hepatobiliary Surgery
2014;20(10):719-722
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the risk factors of delayed gastric emptying (DGE) after pancreaticoduodenectomy (PD).Methods Between Ja(n)uary 1st 2013 and December 31st 2013,data from 196 consecutive patients who underwent PD at the Chinese PLA General Hospital were studied retrospectively.17 factors were examined.Univariate analysis and multivariate logistic regression analysis were used to determine the relative risks.Results DGE occurred in 71 patients (36.2％).The incidences of grade A,grade B and grade C DGE were 22.4％ (44/196),6.1％ (12/196) and 7.7％ (15/196) respectively.There were three postoperative deaths.The overall mortality rate was 1.5％.BMI,Braun anastomosis,clinically relevant postoperative pancreatic fistula (CR-POPF) and intra-abdominal collection were significantly correlated with DGE on univariate analyses.BMI ≥25 kg/m2,CR-POPF,and intra-abdominal collection were independent risk factors on univariate and multivariate regression analyses.Conclusions Post-operative complications were associated with DGE.Early diagnosis and timely treatment for pancreatic fistula and abdominal collection were helpful to decrease morbidity and to promote recovery of DGE.
