Association between intraoperative nasojejunal tube placement and delayed gastric emptying after laparoscopic pancreaticoduodenectomy
10.7659/j.issn.1005-6947.250118
- VernacularTitle:术中鼻空肠管置入与腹腔镜胰十二指肠切除术后胃排空延迟的相关性分析
- Author:
Meng LIU
1
;
Heng WANG
;
Xiaohan KONG
;
Faji YANG
;
Zheyu NIU
;
Yijie HAO
;
Xin WANG
;
Huaqiang ZHU
;
Hengjun GAO
;
Jun LU
;
Xu ZHOU
Author Information
1. 山东第一医科大学附属省立医院奥体院区 胆胰外科,山东 济南 250021
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Laparoscopes;
Enteral Nutrition;
Gastric Emptying;
Postoperative Complications
- From:
Chinese Journal of General Surgery
2025;34(9):1934-1945
- CountryChina
- Language:Chinese
-
Abstract:
Background and Aims:Laparoscopic pancreaticoduodenectomy(LPD)has become a preferred approach for periampullary tumors,yet delayed gastric emptying(DGE)remains a frequent complication that hampers postoperative recovery.The nasojejunal feeding tube(NJT)is commonly used for early enteral nutrition,but its impact on DGE is controversial.This study aimed to evaluate whether intraoperative NJT placement increases the risk of DGE after LPD and to assess its influence on postoperative recovery outcomes.Methods:A retrospective cohort of 319 patients who underwent LPD at Provincial Hospital Affiliated to Shandong First Medical University from April 2017 to November 2023 was analyzed.Patients were divided into two groups based on intraoperative NJT placement(NJT group,n=200;non-NJT group,n=119).The incidence of DGE and postoperative outcomes were compared.Multivariate logistic regression and propensity score matching(PSM)were performed to identify independent risk factors for DGE.Results:The incidence of grade B/C DGE was significantly higher in the NJT group than in the non-NJT group(36.5%vs.21.8%,P=0.006).NJT placement was associated with longer postoperative hospital stay and higher hospitalization costs(both P<0.05).Multivariate analysis revealed intraoperative NJT placement(OR=1.960,95%CI=1.142-3.363,P=0.015)and intraoperative blood loss>400 mL(OR=1.921,95%CI=1.155-3.194,P=0.012)as independent risk factors for DGE.These findings were consistent after PSM.Conclusions:Prophylactic intraoperative NJT placement confers no additional benefit for postoperative recovery after LPD and is associated with a higher risk of DGE,prolonged hospitalization,and increased medical costs.Routine NJT placement should therefore be avoided,and individualized strategies should be adopted to minimize postoperative complications and enhance recovery.
