Analysis of risk factors for delayed gastric emptying following pancreaticoduodenectomy
10.3760/cma.j.cn115667-20191224-00119
- VernacularTitle:胰十二指肠切除术后并发胃排空延迟的危险因素分析
- Author:
Huan WANG
1
;
Gang JIN
;
Kailian ZHENG
;
Zhuo SHAO
;
Shiwei GUO
;
Lili ZHOU
;
Haiyan LIU
;
Jianye HUANG
Author Information
1. 海军军医大学附属长海医院胰腺外科，上海 200433
- From:
Chinese Journal of Pancreatology
2020;20(2):127-131
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the risk factors for delayed gastric emptying (DGE) following pancreaticoduodenectomy (PD).Methods:Clinical data of 385 patients who underwent PD in Changhai Hospital of Navy Medical University from January 2017 to November 2017 were retrospectively analyzed, including 235 men and 150 women. According to the definition of DGE by the International Study Group of Pancreatic Surgery (ISGPS), patients were divided into-clinically irrelevant DGE (non CR-DGE) group and clinically relevant DGE(CR-DGE) group. Univariate analysis and multivariate logistic analysis were used to identify the risk factors of CR-DGE after PD.Results:Of the 385 patients, 78 cases (20.3%) developed DGE. There were 35 cases of CR-DGE (9.1%). In the multivariate analysis, BMI( OR=1.117, 95% CI1.006-1.240, P=0.038), preoperative serum albumin( OR=0.902, 95% CI 0.832-0.977, P=0.012), the main pancreatic duct diameter (MPD)≤3 mm( OR=2.397, 95% CI 1.016-5.653, P=0.046), soft texture of pancreas( OR=2.834, 95% CI 1.093-7.350, P=0.032), clinically relevant postoperative pancreatic fistula (CR-POPF)( OR=4.498, 95% CI 1.768-11.441, P=0.002) were independent risk factors for CR-DGE after PD. Conclusions:High BMI, low preoperative serum albumin, MPD ≤3 mm, soft texture of pancreas and CR-POPF after surgery were independent risk factors for CR-DGE, and early clinical interventions should be performed.
