Objective
The relation between type of pancreatic remnant reconstruction and delayed gastric
emptying (DGE) following pancreatoduodenectomy (PD) is unclear. The authors
are trying to detect the incidence of DGE following PD and its relation to both types
of pancreatic remnant anastomosis, pancreaticogastrostomy (PG) and
pancreaticojejunostomy (PJ).
Patient and methods
This retrospective study included 44 patients who underwent PD. These patients
were classified according to the type of pancreatic anastomosis into two groups: PG
group and PJ group. The development of DGE and its combination with intraabdominal
complications (IACs) was compared between both groups. Risk factors
responsible for clinically evident DGE were analyzed.
Results
The incidence of GDE in both PG and PJ was 27.3%. DGE was strongly associated
with IACs, particularly pancreatic fistula. Furthermore, DGE occurred more
commonly with PG than PJ. Although IACs developed at a similar rate in both
types of pancreatic reconstruction, DGE in combination with IACs was more
frequent with PG. Durations of both nasogastric tube and solid diet tolerance
were prolonged in DGE patients in comparison with non-DGE patients. Moreover,
prokinetic use, nasogastric tube reinsertion, and vomiting were more frequent in
DGE patients than non-DGE patients.
Conclusion
DGE was strongly associated IACs. Regarding the type of pancreatic
reconstruction, DGE is more common with PG than PJ. This may be because
IACs developed more frequently with PG, resulting in more frequent development of
DGE. |
