کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3269469 1208142 2013 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Factors associated with delayed gastric emptying after pancreaticoduodenectomy
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی غدد درون ریز، دیابت و متابولیسم
پیش نمایش صفحه اول مقاله
Factors associated with delayed gastric emptying after pancreaticoduodenectomy
چکیده انگلیسی

BackgroundThe factors associated with delayed gastric emptying (DGE) after a pancreaticoduodenectomy (PD) are not definitively known.MethodsFrom November 2011 through to May 2012, data were prospectively collected on 711 patients undergoing a pancreaticoduodenectomy or total pancreatectomy as part of the American College of Surgeons‐National Surgical Quality Improvement Program Pancreatectomy Demonstration Project. Bivariate and multivariate models were employed to determine the factors that predicted DGE.ResultsIn the 711 patients, the overall rate of DGE was 20.1%. In a bivariate analysis, intra‐operative factors such as pylorus‐preservation (47.1% versus 43.7%, P = 0.40), intra‐operative drain placement (85.5%, versus 85.1%, P = 0.91) and an antecolic compared with a retrocolic gastrojejunostomy (60.1% versus 65.1%, P = 0.26) were not different between the DGE and no DGE groups. Pancreatic fistula formation (31.2% versus 10.1%), post‐operative sepsis (21.7% versus 7.0%), organ space surgical site infection (SSI) (23.9% versus 7.9%), need for percutaneous drainage (23.0% versus 10.6%) and reoperation (10.6% versus 3.1%) were higher in patients with DGE (P < 0.0001). In a multivariable model, only pancreatic fistula, post‐operative sepsis and reoperation were independently associated with DGE.DiscussionIn this multicentre study, only post‐operative complications were associated with DGE. Neither pylorus preservation nor route of enteric reconstruction (antecolic versus retrocolic) was associated with delayed gastric emptying.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: HPB - Volume 15, Issue 10, October 2013, Pages 763–772
نویسندگان
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