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Published in:

01-12-2013

Value of Scintigraphy for Assessing Delayed Gastric Emptying After Pancreatic Surgery

Authors: Gan van Samkar, Wietse J. Eshuis, Marike Lemmers, Dirk J. Gouma, Roel J. Bennink, Markus W. Hollmann, Marcel G. W. Dijkgraaf, Olivier R. C. Busch

Published in: World Journal of Surgery | Issue 12/2013

Abstract

Background

Delayed gastric emptying (DGE) occurs frequently after pancreatic surgery. Recently a consensus definition of DGE was introduced, and this grading system is currently widely used. The aim of this study was to compare results of gastric emptying scintigraphy with the grade of DGE after pancreatic surgery.

Methods

In 44 patients undergoing exploration for a pancreatic head or periampullary tumor, 28 pancreatoduodenectomies (PDs) and 16 double-bypass procedures were performed. All patients underwent preoperative and postoperative gastric emptying scintigraphy. We investigated whether the incidence of DGE was correlated with the results of gastric emptying scintigraphy.

Results

DGE occurred in 19 (43 %) patients. Clinically relevant DGE (grades B and C) prevailed in the PD group. Median postoperative residual activity at t = 2 h (%RA120) in these groups was 36 % (no DGE), 75 % (grade A), 93 % (grade B), and 95 % (grade C). DGE grade B or C was found in 7 of 10 patients with %RA120 of ≥94 % on postoperative day (POD) 7.

Conclusions

Postoperative %RA120 on scintigraphy is positively associated with severity of DGE. Gastric emptying scintigraphy on POD 7 can predict the severity of DGE. When postoperative gastric emptying scintigraphy shows high residual radioactivity, the likelihood of further progression to grade B or C DGE is high and warrants investigation for underlying causes.

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Title: Value of Scintigraphy for Assessing Delayed Gastric Emptying After Pancreatic Surgery
Authors: Gan van Samkar
Wietse J. Eshuis
Marike Lemmers
Dirk J. Gouma
Roel J. Bennink
Markus W. Hollmann
Marcel G. W. Dijkgraaf
Olivier R. C. Busch
Publication date: 01-12-2013
Publisher: Springer US
Published in: World Journal of Surgery / Issue 12/2013
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-013-2219-y

At a glance: The STEP trials

Springer Medicine

Value of Scintigraphy for Assessing Delayed Gastric Emptying After Pancreatic Surgery

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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