Delayed gastric emptying following pancreatoduodenectomy: a Roux-en-Y gastrojejunostomy vs Billroth II gastrojejunostomy randomized study
Rev. esp. enferm. dig
; 111(1): 34-39, ene. 2019. tab, graf
Article
en En
| IBECS
| ID: ibc-182157
Biblioteca responsable:
ES1.1
Ubicación: BNCS
ABSTRACT
Introduction:
delayed gastric emptying (DGE) is the most common complication after pancreaticoduodenectomy (PD) and it occurs in 50% of cases.Objectives:
the endpoint was to determine if there were any differences in the incidence of DGE between Roux-en-Y gastrojejunostomy (ReY) and Billroth II gastrojejunostomy (BII) in PD with pancreaticogastrostomy (PG).Methods:
this was a case-control prospective randomized study of all PD cases between 2013 and 2016. Sixty-four patients were included, 32 in each group. An intention-to-treat statistical analysis was performed.Results:
no significant differences were found with regard to morbidity and mortality or hospital stay. DGE was present in 25% of the patients in the BII group in comparison to 15.6% in the ReY group, which was not statistically significant (p = 0.35). There was a higher percentage of patients with primary DGE in the BII group, 12.5% versus 6.2%, but this was not statistically significant (p = 0.53). No difference in DGE severity was observed. Male gender (OR 8.38 [1.1; 129]), abdominal complications (OR 15 [1.7; 396.9]), pre-operative malnutrition (OR 99.7 [3.3, 11,126]) and hemorrhage (OR 9.4 [1.37, 107.94]) were the main risk factors for DGE according to the multivariate analysis.Conclusions:
there were no significant differences in the incidence or severity of DGE between BII or ReY after PD with PGRESUMEN
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Colección:
06-national
/
ES
Base de datos:
IBECS
Asunto principal:
Anastomosis en-Y de Roux
/
Yeyunostomía
/
Pancreaticoduodenectomía
/
Obstrucción de la Salida Gástrica
/
Vaciamiento Gástrico
Límite:
Humans
Idioma:
En
Revista:
Rev. esp. enferm. dig
Año:
2019
Tipo del documento:
Article