Reduction in delayed gastric emptying following non-pylorus preserving pancreaticoduodenectomy by addition of a Braun enteroenterostomy.

摘要: Context Delayed gastric emptying is a major cause of morbidity following pancreaticoduodenectomy. Objective The impact Braun enteroenterostomy on delayed emptying, used in reconstruction classic pancreaticoduodenectomy, was assessed. Patients Forty-four consecutive patients undergoing non-pylorus preserving pancreaticoduodenectomy from 2009 to 2011 by single surgeon were included this study. Interventions first 20 had standard antecolic gastroenterostomy and the subsequent 24 addition enteroenterostomy. Results Patient characteristics, extent surgery, surgical findings tumor characteristics similar between two groups. rate (1/24, 4.2%) significantly lower (P=0.008) than group (7/20, 35.0%). In group, 6 7 cases (85.7%) class C nature. After exclusion 8 total pancreatectomy patients, pancreatic fistula (4/19, 21.1%) (0.706) (5/17, 29.4%) as median length hospital stay (10 days vs. 15 days; P=0.291). technique only significant independent factor associated with reduced an odds ratio 0.08 (95% confidence interval: 0.01-0.73; P=0.025). Conclusion use appears result reduction emptying. Image:  Reconstruction