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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 6/2015

01-06-2015 | Original Article

Delayed Gastric Emptying After Pancreaticoduodenectomy. Risk Factors, Predictors of Severity and Outcome. A Single Center Experience of 588 Cases

Authors: Ayman El Nakeeb, Waleed Askr, Youssef Mahdy, Ahmed Elgawalby, Mohamed El sorogy, Mostaffa Abu Zeied, Talaat Abdallah, Mohamed Abd elwahab

Published in: Journal of Gastrointestinal Surgery | Issue 6/2015

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Abstract

Background

Delayed gastric emptying (DGE) is a common complication after pancreaticoduodenectomy (PD). This study was designed to evaluate perioperative risk variables for DGE after PD and analyze the factors that predict its severity.

Patients and Method

Demographic data, preoperative, intraoperative, and postoperative variables were collected.

Results

A total of 588 consecutive patients underwent PD. One hundred and five patients (17.9 %) developed DGE of any type. Forty-three patients (7.3 %) had a type A, 53 patients (9.01 %) had DGE type B, and the remaining nine patients (1.5 %) had DGE type C. BMI > 25, diabetes mellitus (DM), preoperative biliary drainage, retrocolic reconstruction, type of pancreatic reconstruction, presence of complications, postoperative pancreatic fistula (POPF), and bile leaks were significantly associated with a higher incidence of DGE. Thirty-three (31.4 %) patients were diagnosed as primary DGE, while 72 (68.5 %) patients had DGE secondary to concomitant complications. Type B and C DGE were significantly noticed in secondary DGE (P = 0.04). Hospital stay was significantly shorter in primary DGE.

Conclusion

Retrocolic GJ, DM, presence of complications, type of pancreatic reconstruction, and severity of POPF were independent significant risk factors for development of DGE. Type B and C DGE were significantly more in secondary DGE.
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Metadata
Title
Delayed Gastric Emptying After Pancreaticoduodenectomy. Risk Factors, Predictors of Severity and Outcome. A Single Center Experience of 588 Cases
Authors
Ayman El Nakeeb
Waleed Askr
Youssef Mahdy
Ahmed Elgawalby
Mohamed El sorogy
Mostaffa Abu Zeied
Talaat Abdallah
Mohamed Abd elwahab
Publication date
01-06-2015
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 6/2015
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-015-2795-2

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