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- W4313174805 abstract "Introduction: Delayed Gastric Emptying (DGE) remains one of unsolved complications after pancreaticoduodenectomy (PD). After 2016, we adapted the long efferent loop (50–60cm) of Braun enteroenterostomy when the reconstruction after PD using the modified Child technique. This study aimed to examine whether the long efferent loop of Braun enteroenterostomy could reduce DGE after PD. Methods: Consecutive patients who underwent PD in a single institution between February 2002 and August 2021 were included. Short-term outcomes in patients with the standard efferent loop with 0–30cm in length (S group) were compared to patients with the long efferent loop of Braun enteroenterostomy (L group). DGE was graded according to the definition by the International Study Group of Pancreatic Surgery. Results: L group (n=86) included more elderly patients than S group (n=120). Operative time (median) was shorter in S group (513 vs. 560 min, p=0.009), however blood loss was lower in L group (450 vs. 770 ml, p<0.001). There were no differences of clinically relevant postoperative pancreatic fistula and severe morbidity. The rate of DGE was low in L group (5.8% vs. 15.8%, p=0.027) with shorter hospital stay (25 vs. 34 days, p<0.001), compared to S group. Multivariable analysis revealed two risk factors of DGE: intraabdominal abscess [Hazard ratio (HR) 5.530 (95% confidence interval 1.554-19.671), p=0.008] and the standard efferent loop of Braun enteroenterostomy [HR 2.969 (1.015-8.679), p=0.047]. Conclusions: The long efferent loop of Braun enteroenterostomy might reduce DGE after PD." @default.
- W4313174805 created "2023-01-06" @default.
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- W4313174805 date "2022-01-01" @default.
- W4313174805 modified "2023-10-16" @default.
- W4313174805 title "A Simple Trick to Reduce Delayed Gastric Emptying after Pancreaticoduodenectomy" @default.
- W4313174805 doi "https://doi.org/10.1016/j.hpb.2022.05.826" @default.
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