Impact of Straight Stomach Reconstruction on Delayed Gastric Emptying and Nutritional Recovery After Pancreaticoduodenectomy.
Am Surg
; : 31348241248688, 2024 Apr 23.
Article
en En
| MEDLINE
| ID: mdl-38652272
ABSTRACT
BACKGROUND:
The aim of this study was to evaluate the effectiveness of a modified reconstruction technique-anchored straight stomach reconstruction-in reducing the incidence of delayed gastric emptying (DGE) after pancreaticoduodenectomy (PD) and its impact on postoperative nutritional recovery.METHODS:
A case series analysis of 125 consecutive PD patients was conducted 104 of them had undergone anchored straight stomach reconstruction (SSR group) and the remaining 21 without (Non-SSR group). The incidence of DGE and the change in postoperative nutritional status (body weight and serum albumin level during 12 months post-surgery) were compared.RESULTS:
The incidence of DGE in the SSR group (13%) was significantly lower than that in the Non-SSR group (33%) (P = .018); further the significant DGE (grade B or C) was only 5%. Comparison of nutritional status showed that SSR facilitated a prompt recovery of body weight and serum albumin level at 6 months after PD. At 12 months after surgery, body weight gain was significantly better in the SSR group than in the Non-SSR group (P = .006), and albumin level tended to be higher in the SSR group (P = .071).CONCLUSION:
Straight stomach reconstruction is able to reduce DGE in patients after PD and also improves their postoperative nutritional recovery.
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Banco de datos:
MEDLINE
Idioma:
En
Revista:
Am Surg
Año:
2024
Tipo del documento:
Article
País de afiliación:
Japón