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- W3209954147 abstract "Purpose: Delayed gastric emptying (DGE) remains a common problem after рancreaticoduodenectomy. Method: Pancreaticoduodenectomy was performed in 50 patients according to standard methods. 15 (30%) patients underwent pyloric-preserving рancreaticoduodenectomy (PPPD), of which 6 (40%) were diagnosed with DGE, 35 (70%) patients underwent traffic rules by the method of Whipple, of whom 8 (22%) were diagnosed with DGE. Results: Pancreaticoduodenectomy was performed in 50 patients. PPPD with antecolic manual duodenojejunostomy in 15 (30%) patients; PD with antecolic manual gastrojejunostomy in 32 (64%), with retrocolic manual gastrojejunostomy in 3 (6%). The average time of PPPD is 369 - (300-425) minutes, PD - 452 (320-760) minutes. The volume of intraoperative blood loss in PPPD was 367 (200-600) ml, PD - 436 (200-1200) ml. The time of postoperative stay of the patient in the hospital is 20.8 (12-42) days after PPPD and 15.4 (9-26) days after pancreaticoduodenectomy without pylorus preservation. Slowing of delayed gastric emptying was diagnosed in 14 (28%). Conclusions: Preservation of the pylorus during traffic rules contributes to a higher level of slowing of gastric emptying than during resection of the pylorus. Given the small sample size of patients, it is difficult to assess the effect on the rate of slowing of gastric emptying in retrocolic or antecolic digestive anastomosis. Further development and evaluation of methodologies is needed." @default.
- W3209954147 created "2021-11-08" @default.
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- W3209954147 date "2021-01-01" @default.
- W3209954147 modified "2023-10-12" @default.
- W3209954147 title "Delayed Gastric Emptying after Pancreaticoduodenectomy" @default.
- W3209954147 doi "https://doi.org/10.1016/j.hpb.2021.08.869" @default.
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