Preventing Delayed Gastric Emptying After Whipple's Procedure—Isolated Roux Loop Reconstruction With Pancreaticogastrostomy

Delayed gastric emptying following pancreatoduodenectomy with alimentary reconstruction according to Roux-en-Y or Billroth-II

BACKGROUND Delayed gastric emptying (DGE) remains the most frequent complication following pancreatoduodenectomy (PD) with published incidences as high as 61%. The present study investigates the impact of bowel reconstruction techniques on DGE following classic PD (Whipple-Kausch procedure) with pancreatogastrostomy (PG). METHODS We included 168 consecutive patients who underwent PD with PG w...

Delayed gastric emptying after distal gastrectomy for gastric cancer.

BACKGROUND/AIMS Gastric surgery may potentiate delayed gastric emptying. The aims of the study were to determine the frequency and causes of delayed gastric emptying in patients who had undergone distal gastrectomy for gastric carcinoma and to assess which factors predispose to its development. METHODOLOGY 209 patients, who had undergone gastrectomy, were evaluated. RESULTS Delayed gastric ...

Current Indications of Gastric Resection and Roux-y Loop Reconstruction

Effect 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...

Does 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...