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- Title
Risk factors for delayed gastric emptying after pancreatoduodenectomy.
- Authors
Chong, Charing Ching‐Ning; Lee, Kit‐Fai; Ip, Philip Ching‐Tak; Liu, Shirley Yuk‐Wah; Chan, Micah Chi‐King; Cheung, Yue‐Sun; Wong, John; Lai, Paul Bo‐San
- Abstract
Aim Evaluation of the prevalence of delayed gastric emptying ( DGE) post-operatively is thwarted by an inconsistency in DGE definition. The aim of the present study was to evaluate the incidence and underlying risk factors of DGE after pancreaticoduodenectomy (PD), employing the International Group of Pancreatic Surgery ( ISGPS) consensus definition. Patients and Methods Patient demographics, operative details, clinical course and pathology of 95 consecutive patients who underwent PD at a tertiary academic institution were analysed. Results The overall incidence of DGE was 32.6 per cent, and those of grades A, B and C were 18.9 per cent, 5.3 per cent and 8.4 per cent, respectively. DGE was associated with longer post-operative length of stay (17 days vs 13 days, P = 0.016). With increasing DGE severity, there was a statistically-significant increase in the presence of post-operative pancreatic fistula greater than grade A ( P = 0.033) and the post-operative length of stay ( P = 0.020). Post-operative pleural effusion ( P = 0.020) and increased number of lymph nodes resected ( P = 0.014) are significant independent risk factors for DGE. Conclusions The ISGPS definition and grading systems for DGE are applicable and correlate well with clinical course. An association between more extensive lymphatic dissection and DGE is noted.
- Subjects
PANCREATICODUODENECTOMY; GASTRIC emptying; POSTOPERATIVE period; PANCREATIC surgery; LYMPH node surgery
- Publication
Surgical Practice, 2015, Vol 19, Issue 1, p22
- ISSN
1744-1625
- Publication type
Article
- DOI
10.1111/1744-1633.12100