Risk factors of delayed gastric emptying following pancreaticoduodenectomy.
ANZ J Surg
; 86(1-2): 69-73, 2016.
Article
em En
| MEDLINE
| ID: mdl-25312402
ABSTRACT
BACKGROUND:
This study aims to explore the morbidity and risk factors of delayed gastric emptying (DGE) following pancreaticoduodenectomy.METHODS:
Between 1 January 2013 and 31 December 2013, data from 196 consecutive patients who underwent pancreaticoduodenectomy in the Chinese PLA General Hospital were recorded retrospectively. A total of 17 factors were examined with univariate analysis, and multivariate logistic regression analysis was used to estimate relative risks.RESULTS:
DGE occurred in 71 patients (36.2%). The incidence rates of grade A, grade B and grade C DGE were 22.4% (44/196), 6.1% (12/196) and 7.7% (15/196), respectively. There were three post-operative deaths for the entire series, with an overall mortality rate of 1.5%. Braun enteroenterostomy, clinically relevant post-operative pancreatic fistula (CR-POPF) and intra-abdominal collection correlated with DGE rates significantly in univariate analysis, whereas CR-POPF and intra-abdominal collection were independent risk factors in multivariate logistic regression analysis. Body mass index ≥25 kg/m(2) , CR-POPF and intra-abdominal collection correlated with clinically relevant DGE rates significantly and were independent risk factors in univariate analysis and multivariate regression.CONCLUSION:
Only post-operative complications instead of operative methods were associated with DGE. Early diagnosis and timely treatment for pancreatic fistula and intra-abdominal collection were helpful to decrease morbidity and promote recovery of DGE.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Fístula Pancreática
/
Pancreaticoduodenectomia
/
Gastroparesia
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article