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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. P...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602449/ https://www.ncbi.nlm.nih.gov/pubmed/25101987 http://dx.doi.org/10.1097/MD.0000000000000048 |
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author | Zhang, Xu-Feng Yin, Guo-Zhi Liu, Qing-Guang Liu, Xue-Min Wang, Bo Yu, Liang Liu, Si-Nan Cui, Hong-Ying Lv, Yi |
author_facet | Zhang, Xu-Feng Yin, Guo-Zhi Liu, Qing-Guang Liu, Xue-Min Wang, Bo Yu, Liang Liu, Si-Nan Cui, Hong-Ying Lv, Yi |
author_sort | Zhang, Xu-Feng |
collection | PubMed |
description | 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 characteristics, surgical procedure, postoperative diagnosis, and morbidity including DGE. The DGE was defined and classified by the International Study Group of Pancreatic Surgery recommendation. The incidence of DGE was similar in patients with or without Braun enteroenterostomy following PD (37/347, 10.7% vs 8/48, 16.7%, P = 0.220). The patients in the 2 groups were not different in patient characteristics, lesions, surgical procedure, or postoperative complications, although patients without Braun enteroenterostomy more frequently presented postoperative vomiting than those with Braun enteroenterostomy (33.3% vs 15.3%, P = 0.002). Bile leakage, pancreatic fistula, and intraperitoneal abscess were risk factors for postoperative DGE (all P < 0.05). Prokinetic agents and acupuncture were effective in symptom relief of DGE in 24 out of 45 patients and 12 out of 14 patients, respectively. The additional Braun enteroenterostomy following classic PD was not associated with a decreased rate of DGE. Postoperative abdominal complications were strongly correlated with the onset of DGE. Prokinetic agents and acupuncture could be utilized in some patients with DGE. |
format | Online Article Text |
id | pubmed-4602449 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-46024492015-10-27 Does Braun Enteroenterostomy Reduce Delayed Gastric Emptying After Pancreaticoduodenectomy? Zhang, Xu-Feng Yin, Guo-Zhi Liu, Qing-Guang Liu, Xue-Min Wang, Bo Yu, Liang Liu, Si-Nan Cui, Hong-Ying Lv, Yi Medicine (Baltimore) Article 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 characteristics, surgical procedure, postoperative diagnosis, and morbidity including DGE. The DGE was defined and classified by the International Study Group of Pancreatic Surgery recommendation. The incidence of DGE was similar in patients with or without Braun enteroenterostomy following PD (37/347, 10.7% vs 8/48, 16.7%, P = 0.220). The patients in the 2 groups were not different in patient characteristics, lesions, surgical procedure, or postoperative complications, although patients without Braun enteroenterostomy more frequently presented postoperative vomiting than those with Braun enteroenterostomy (33.3% vs 15.3%, P = 0.002). Bile leakage, pancreatic fistula, and intraperitoneal abscess were risk factors for postoperative DGE (all P < 0.05). Prokinetic agents and acupuncture were effective in symptom relief of DGE in 24 out of 45 patients and 12 out of 14 patients, respectively. The additional Braun enteroenterostomy following classic PD was not associated with a decreased rate of DGE. Postoperative abdominal complications were strongly correlated with the onset of DGE. Prokinetic agents and acupuncture could be utilized in some patients with DGE. Wolters Kluwer Health 2014-07-25 /pmc/articles/PMC4602449/ /pubmed/25101987 http://dx.doi.org/10.1097/MD.0000000000000048 Text en © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins http://creativecommons.org/licenses/by-sa/4.0 This is an open access article distributed under the Creative Commons Attribution-ShareAlike License 4.0, which allows others to remix, tweak, and build upon the work, even for commercial purposes, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-sa/4.0 |
spellingShingle | Article Zhang, Xu-Feng Yin, Guo-Zhi Liu, Qing-Guang Liu, Xue-Min Wang, Bo Yu, Liang Liu, Si-Nan Cui, Hong-Ying Lv, Yi Does Braun Enteroenterostomy Reduce Delayed Gastric Emptying After Pancreaticoduodenectomy? |
title | Does Braun Enteroenterostomy Reduce Delayed Gastric Emptying After Pancreaticoduodenectomy? |
title_full | Does Braun Enteroenterostomy Reduce Delayed Gastric Emptying After Pancreaticoduodenectomy? |
title_fullStr | Does Braun Enteroenterostomy Reduce Delayed Gastric Emptying After Pancreaticoduodenectomy? |
title_full_unstemmed | Does Braun Enteroenterostomy Reduce Delayed Gastric Emptying After Pancreaticoduodenectomy? |
title_short | Does Braun Enteroenterostomy Reduce Delayed Gastric Emptying After Pancreaticoduodenectomy? |
title_sort | does braun enteroenterostomy reduce delayed gastric emptying after pancreaticoduodenectomy? |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602449/ https://www.ncbi.nlm.nih.gov/pubmed/25101987 http://dx.doi.org/10.1097/MD.0000000000000048 |
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