Delayed gastric emptying after pylorus-preserving pancreaticoduodenectomy

Yan Shen Shan, Yu Hsiang Hsieh, Edgar D. Sy, Pin Wen Lin

Research output: Contribution to journalArticlepeer-review

Abstract

Background and Purpose: Pylorus-preserving pancreaticoduodenectomy is associated with a high incidence of delayed gastric emptying. The aim of this study was to determine the incidence and risk factors for delayed gastric emptying after this procedure. Methods: This retrospective study included 63 consecutive patients who received pylorus-preserving pancreaticoduodenectomy from July 1993 to Deccember 2002. The patients were divided in to 2 groups based on the presence of delayed gastric emptying. Preoperative indices, postoperative morbidity, nasogastric intubation, and hospital stay were compared. The risk factors for delayed gastric emptying were analyzed. Results: The postoperative incidence of delayed gastric emptying was 44% (28/63 patients). Multivariate analysis revealed that no preoperative biliary drainage, no cholestatic change in the liver and blood loss > 400 mL were significant risk factors for delayed gastric emptying. Conclusions: Pylorus-preserving pancreaticoduodenectomy is a safe procedure with a high incidence of delayed gastric emptying. Delicate surgical dissection to decrease blood loss and the extent of perigastric inflammation may be the key factor to prevent delayed gastric emptying.

Original languageEnglish (US)
Pages (from-to)767-772
Number of pages6
JournalJournal of the Formosan Medical Association
Volume103
Issue number10
StatePublished - Oct 2004
Externally publishedYes

Keywords

  • Gastric emptying
  • Pancreaticoduodenectomy
  • Postoperative complications
  • Pylorus
  • Retrospective studies

ASJC Scopus subject areas

  • Medicine(all)

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