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- W3141463570 abstract "Introduction: Although delayed gastric emptying (DGE) after Whipple's pancreaticoduodenectomy is not life threatening and can be treated conservatively, it results in discomfort and significant prolongation of the hospital stay and adds on to the hospital costs. To overcome this problem, we started using the isolated loop technique of reconstruction along with pancreaticogastrostomy and we present our series using this technique. Methods: All consecutive patients undergoing Whipple's pancreaticoduodenectomy in a single surgical unit from January 2009 until December 2018 were included. In the absence of hepatic and peritoneal metastasis, resection (Whipple's procedure) with curative intent was done using isolated loop technique with pancreaticogastrostomy. Delayed gastric emptying was assessed clinically and on oral gastrograffin study. Bile reflux was also assessed on clinical parameters and evidence of beefy friable gastric mucosa on upper GI endoscopy and presence of reflux on hepatobiliary scintigraphy. Results: A total of 101 patients were operated using this technique from January 2009 to December 2018. The mean operative time was 260.8 ± 50.3, and the mean operative blood loss was 1,068.0 ± 606.1 ml. Mean gastric emptying time 106.0 ± 6.1 min (89-258 min). 5 out of the 101 (4.9 %) patients had persistent vomiting in the post-operative period requiring reinsertion of NG tube. A HIDA scan done on POD7 for all patients did not show any evidence of bile reflux in any of the patients. Conclusion: Pancreatogastrostomy with isolated loop in pancreaticoduodenal resection markedly reduces the post-operative incidence of alkaline reflux gastritis and DGE" @default.
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- W3141463570 date "2021-01-01" @default.
- W3141463570 modified "2023-09-26" @default.
- W3141463570 title "Preventing Delayed Gastric Emptying after Whipple'S Procedure - Isolated Roux Loop Reconstruction with Pancreatico-Gastrostomy" @default.
- W3141463570 doi "https://doi.org/10.1016/j.hpb.2020.11.138" @default.
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