Clinical validation and risk factors for delayed gastric emptying based on the International Study Group of Pancreatic Surgery (ISGPS) Classification.

摘要: Background Delayed gastric emptying (DGE) is one of the most common complications after pancreatoduodenectomy (PD). Because an objective, universally accepted definition DGE does not yet exist, it impossible to compare complication rates and outcomes new operative approaches, techniques, clinical trials. The International Study Group Pancreatic Surgery (ISGPS) has proposed a universal classification for based on outcomes, but this been tested rigorously applied data. Therefore, aim study was analyze our experience identify predictive factors by applying ISGPS at high-volume hospital. Methods From October 2002 December 2007, 129 consecutive patients underwent PD Department Surgery, Yonsei University Medical Center. severity determined according classification, risk were evaluated retrospectively. Results overall incidence 33.3%, with 16 (12.4%) having grade A, 14 (10.9%) B, 13 (10.1%) C. Clinical worsened progressively as relevant increased. In multivariate analysis, clinically pancreatic fistula (grade B/C) benign pathology identified independent DGE. Conclusion leakage serious also associated clear useful tool assess outcomes.