Intraoperative endoluminal pyloromyotomy as a novel approach to reduce delayed gastric emptying after pylorus-preserving pancreaticoduodenectomy – a retrospective study
نویسندگان
چکیده
Background: One of the most common complications after partial pancreaticoduodenectomy or pylorus-preserving pancreatoduodenectomy is delayed gastric emptying, which associated with a reduction quality life, longer hospital stay and higher costs. The aim this retrospective study, was to assess whether an intraoperative endoluminal pyloromyotomy during prior duodenojejunostomy reduces rate emptying. Another objective proof safety operation technique, through analyzing postoperative complications, emptying grades, duration mortality.
منابع مشابه
Reduction in delayed gastric emptying following non-pylorus preserving pancreaticoduodenectomy by addition of a Braun enteroenterostomy.
CONTEXT Delayed gastric emptying is a major cause of morbidity following pancreaticoduodenectomy. OBJECTIVE The impact of a Braun enteroenterostomy on delayed gastric emptying, used in reconstruction following classic pancreaticoduodenectomy, was assessed. PATIENTS Forty-four consecutive patients undergoing non-pylorus preserving pancreaticoduodenectomy from 2009 to 2011 by a single surgeon...
متن کاملDoes Braun Enteroenterostomy Reduce Delayed Gastric Emptying After Pancreaticoduodenectomy?
Whether an additional Braun enteroenterostomy is necessary in reducing delayed gastric emptying (DGE) after pancreaticoduodenectomy (PD) has not yet been well investigated. Herein, in this retrospective study, 395 consecutive cases of patients undergoing classic PD from 2009 to 2013 were reviewed. Patients with and without Braun enteroenterostomy were compared in preoperative baseline character...
متن کاملDelayed gastric emptying after Billroth I pylorus-preserving pancreatoduodenectomy: effect of postoperative time and cisapride.
OBJECTIVE To study the recovery course of gastric emptying after Billroth I pylorus-preserving pancreatoduodenectomy (PPPD) and therapeutic effects of cisapride. METHODS To examine gastric emptying, acetaminophen was given, admixed in a pasty liquid meal, to 16 patients undergoing PPPD before surgery and at 1, 3, 6, 9, and 12 months after surgery. Cisapride was given orally to 10 patients bef...
متن کاملEffect of antecolic reconstruction on delayed gastric emptying after the pylorus-preserving Whipple procedure.
HYPOTHESIS Antecolic duodenojejunostomy prevents delayed gastric emptying (DGE) after a pylorus-preserving Whipple (ppW) procedure better than retrocolic duodenojejunostomy. DESIGN A single operation team's experience with antecolic and retrocolic duodenojejunostomy in ppW is analyzed on a prospective database using univariate and multivariate models. SETTING Tertiary referral center that f...
متن کاملThe Effect of Pylorus Removal on Delayed Gastric Emptying after Pancreaticoduodenectomy: A Meta-Analysis of 2,599 Patients
BACKGROUND Delayed gastric emptying is a serious complication of pancreaticoduodenectomy. The effect of pylorus removal on delayed gastric emptying has not been well evaluated. STUDY DESIGN We searched five databases (PubMed, EMBASE and the Cochrane Central Register of Controlled Trials, Scopus and Web of Science) up to July 2014. The meta-regression analysis was performed to evaluate any fac...
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ژورنال
عنوان ژورنال: Ejso
سال: 2022
ISSN: ['1532-2157', '0748-7983']
DOI: https://doi.org/10.1016/j.ejso.2021.12.247