Pylorus ring resection reduces delayed gastric emptying in patients undergoing pancreatoduodenectomy: a prospective, randomized, controlled trial of pylorus-resecting versus pylorus-preserving pancreatoduodenectomy.

作者: Manabu Kawai , Masaji Tani , Seiko Hirono , Motoki Miyazawa , Atsushi Shimizu

DOI: 10.1097/SLA.0B013E31820D98F1

关键词: PylorusDuodenumStomachClinical trialGastroenterologyInternal medicineSurgeryRandomized controlled trialStomach surgeryProspective cohort studyMedicineGastric emptying

摘要: Objective:To determine in a prospective randomized controlled trial (RCT) whether pylorus-resecting pancreatoduodenectomy (PrPD) with preservation of nearly the entire stomach reduces incidence delayed gastric emptying (DGE) compared pylorus-preserving (PpPD).Backgr

参考文章(35)
KAMAL M. F. ITANI, R. EDWARD COLEMAN, ONYE E. AKWARI, WILLIAM C. MEYERS, Pylorus-preserving pancreatoduodenectomy. A clinical and physiologic appraisal. Annals of Surgery. ,vol. 204, pp. 655- 664 ,(1986) , 10.1097/00000658-198612000-00007
Kobayashi, Miyachi, Kanai, Nagino, Kondo, Kamiya, Nakao, Hayakawa, Nimura, Different gastric emptying of solid and liquid meals after pylorus-preserving pancreatoduodenectomy British Journal of Surgery. ,vol. 85, pp. 927- 930 ,(2003) , 10.1046/J.1365-2168.1998.00738.X
Charles J. Yeo, John L. Cameron, Taylor A. Sohn, Keith D. Lillemoe, Henry A. Pitt, Mark A. Talamini, Ralph H. Hruban, Sarah E. Ord, Patricia K. Sauter, JoAnn Coleman, Marianna L. Zahurak, Louise B. Grochow, Ross A. Abrams, Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes. Annals of Surgery. ,vol. 226, pp. 248- 260 ,(1997) , 10.1097/00000658-199709000-00004
Joon Seong Park, Ho Kyoung Hwang, Jae Keun Kim, Sin Il Cho, Dong-Sup Yoon, Woo Jung Lee, Hoon Sang Chi, Clinical validation and risk factors for delayed gastric emptying based on the International Study Group of Pancreatic Surgery (ISGPS) Classification. Surgery. ,vol. 146, pp. 882- 887 ,(2009) , 10.1016/J.SURG.2009.05.012
Charles J. Yeo, M. Kevin Barry, Patricia K. Sauter, Samuel Sostre, Keith D. Lillemoe, Henry A. Pitt, John L. Cameron, Erythromycin accelerates gastric emptying after pancreaticoduodenectomy. A prospective, randomized, placebo-controlled trial. Annals of Surgery. ,vol. 218, pp. 229- 238 ,(1993) , 10.1097/00000658-199309000-00002
Emi Akizuki, Yasutoshi Kimura, Takayuki Nobuoka, Masafumi Imamura, Minoru Nagayama, Tomoko Sonoda, Koichi Hirata, Reconsideration of Postoperative Oral Intake Tolerance After Pancreaticoduodenectomy: Prospective Consecutive Analysis of Delayed Gastric Emptying According to the ISGPS Definition and the Amount of Dietary Intake Annals of Surgery. ,vol. 249, pp. 986- 994 ,(2009) , 10.1097/SLA.0B013E3181A63C4C
M SAKAI, A NAKAO, T KANEKO, S TAKEDA, S INOUE, Y KODERA, S NOMOTO, N KANAZUMI, H SUGIMOTO, Para-aortic lymph node metastasis in carcinoma of the head of the pancreas. Surgery. ,vol. 137, pp. 606- 611 ,(2005) , 10.1016/J.SURG.2005.02.009
Moritz N. Wente, Claudio Bassi, Christos Dervenis, Abe Fingerhut, Dirk J. Gouma, Jakob R. Izbicki, John P. Neoptolemos, Robert T. Padbury, Michael G. Sarr, L. William Traverso, Charles J. Yeo, Markus W. Büchler, Delayed gastric emptying (DGE) after pancreatic surgery: A suggested definition by the International Study Group of Pancreatic Surgery (ISGPS) Surgery. ,vol. 142, pp. 761- 768 ,(2007) , 10.1016/J.SURG.2007.05.005
Susumu Ohwada, Yoshihiro Satoh, Susumu Kawate, Takayuki Yamada, Osamu Kawamura, Toru Koyama, Sumihiko Yoshimura, Naoki Tomizawa, Tetsushi Ogawa, Yasuo Morishita, Low-dose erythromycin reduces delayed gastric emptying and improves gastric motility after Billroth I pylorus-preserving pancreaticoduodenectomy. Annals of Surgery. ,vol. 234, pp. 668- 674 ,(2001) , 10.1097/00000658-200111000-00013