Effect of optimizing gastrointestinal reconstruction on reducing gastric emptying disorder after pancreaticoduodenectomy
10.3760/cma.j.cn113855-20211225-00749
- VernacularTitle:胃肠重建方式的优化对胰十二指肠切除术后胃排空障碍的影响
- Author:
Lei LIU
1
;
Kun XIE
;
Fubao LIU
;
Zihan LI
;
Yijun ZHAO
;
Zhaowen ZHANG
;
Xiaoping GENG
Author Information
1. 安徽医科大学第一附属医院普外科（高新院区肝胆胰外科），合肥 230000
- Keywords:
Pancreaticoduodenectomy;
Anastomosis,surgical;
Gastric emptying disorder
- From:
Chinese Journal of General Surgery
2022;37(9):651-654
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of optimizing perioperative measures on reducing postoperative gastric emptying disorder in gastrointestinal reconstruction after pancreaticoduodenectomy.Methods:The clinical data of 146 patients who underwent pancreaticoduodenectomy from Jan 2019 to Dec 2020 at the Department of Hepatobiliary and Pancreatic Surgery,the First Affiliated Hospital ,Anhui Medical University were analyzed retrospectively. Among them, 78 cases underwent traditional Billroth Ⅱ gastrojejunal anastomosis for gastrointestinal reconstruction, and 68 cases in the improvement group took optimization measures. The time to first postoperative flatus, time to oral intake, postoperative hospital stay and complications were observed.Results:The operation time in the control group was (351.4±71.6) min, less than that in the improved group (368.8±97.6) min, while the time [(9.9±6.5)d vs. (7.6±6.0)d] to first oral take and postoperative hospital stay [(20.7±8.6)d vs. (17.9±7.0)d] were significantly longer than those in the improved group. The incidence of postoperative gastric emptying disorder (19.2% vs. 7.4%) was significantly higher than that in the improved group ( P<0.05). There was no significant difference in postoperative time to first flatus and postoperative gastrointestinal bleeding between the two groups (all P>0.05). Conclusions:The measures of optimizing gastrointestinal reconstruction in the perioperative period of pancreaticoduodenectomy have obvious advantages in reducing gastric emptying disorder, promoting the recovery of gastrointestinal function and shortening the length of hospital stay.
