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Delayed Gastric Emptying in Side-to-Side Gastrojejunostomy in Pancreaticoduodenectomy: Result of a Propensity Score Matching

Published on Oct 1, 2017in Journal of Gastrointestinal Surgery2.686
· DOI :10.1007/s11605-017-3540-9
Akio Tsutaho1
Estimated H-index: 1
(Hokkaido University),
Toru Nakamura13
Estimated H-index: 13
(Hokkaido University)
+ 11 AuthorsSatoshi Hirano32
Estimated H-index: 32
(Hokkaido University)
Abstract
Background Delayed gastric emptying (DGE) is one of the most common morbidities of pancreaticoduodenectomy (PD). The aim of this study was to clarify whether the incidence of DGE can be reduced by side-to-side gastric greater curvature-to-jejunal anastomosis in subtotal stomach-preserving pancreaticoduodenectomy (SSPPD).
  • References (31)
  • Citations (2)
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References31
Newest
#2Ismail LabgaaH-Index: 8
Last. Pierre AllemannH-Index: 10
view all 5 authors...
Background: One of the most frequent complications of pancreaticoduodenectomy (PD) is delayed gastric emptying (DGE). The study aim was to evaluate the impact of
15 CitationsSource
#1Masafumi Imamura (Sapporo Medical University)H-Index: 11
#2Yasutoshi Kimura (Sapporo Medical University)H-Index: 36
Last. Koichi Hirata (Sapporo Medical University)H-Index: 56
view all 7 authors...
Background Delayed gastric emptying (DGE) is a relatively common complication after pancreatoduodenectomy (PD). The aim of this study was to determine whether DGE is affected by antecolic or retrocolic reconstruction for gastro/duodenojejunostomy after PD. Methods A literature search was performed of the MEDLINE (PubMed), Ovid SP, ISI Web of Knowledge, EMBASE, and Cochrane databases to identify randomized controlled trials (RCTs) and clinical observational studies related to this topic from Janu...
7 CitationsSource
#1Ming-quan Huang (Sichuan University)H-Index: 1
#2Mou Li (Sichuan University)H-Index: 1
Last. Bo-le Tian (Sichuan University)H-Index: 1
view all 4 authors...
Abstract Background It remains controversial whether the additional Braun enteroenterostomy (BEE) is necessary in decreasing delayed gastric emptying (DGE) following pancreaticoduodenectomy (PD). This meta-analysis aims to assess the efficacy of the additional BEE in reducing DGE after PD. Methods PubMed, EMBASE, Science Citation Index and The Cochrane Library were searched to identify relevant studies. Articles published before May 15, 2015 comparing BEE with traditional gastrojejunostomy durin...
6 CitationsSource
#1Joshua D. Eisenberg (Thomas Jefferson University)H-Index: 1
#2Ernest L. Rosato (Thomas Jefferson University)H-Index: 25
Last. Jordan M. Winter (Thomas Jefferson University)H-Index: 36
view all 5 authors...
Introduction Delayed gastric emptying (DGE) is a common complication after pancreaticoduodenectomy (PD), yet it remains incompletely understood. The International Study Group of Pancreatic Surgery (ISGPS) in 2007 defined a three-tiered grading system to standardize studies of DGE.
22 CitationsSource
#1Toru Nakamura (Hokkaido University)H-Index: 13
#2Yoshiyasu AmboH-Index: 18
Last. Satoshi Hirano (Hokkaido University)H-Index: 32
view all 11 authors...
Background One of the most common morbidities of pancreaticoduodenectomies is delayed gastric emptying (DGE). The recent advent of subtotal stomach-preserving pancreaticoduodenectomy (SSPPD) attempts to lessen this troublesome complication; however, the incidence of DGE still remains to be 4.5–20 %. This study aims to evaluate whether the incidence of DGE can be reduced by the side-to-side gastric greater curvature-to-jejunal anastomosis in comparison with the gastric stump-to-jejunal end-to-sid...
8 CitationsSource
#1Bin Xu (Tongji University)H-Index: 1
#2Hongbo Meng (Tongji University)H-Index: 9
Last. Zhenshun Song (Tongji University)H-Index: 14
view all 6 authors...
Abstract Background Modified digestive reconstruction during pancreaticoduodenectomy (PD) may affect the postoperative incidence of delayed gastric emptying (DGE). The purpose of this study is to investigate whether Braun enteroenterostomy following PD can reduce the incidence of DGE. Methods Four hundred seven patients who received PD with child reconstruction from June 2000 to March 2013 were divided into 2 groups: 206 patients with Braun enteroenterostomy (Child-Braun group) and 201 patients ...
15 CitationsSource
#1Klaus Sahora (Harvard University)H-Index: 14
#2Morales-Oyarvide (Harvard University)H-Index: 17
Last. Carlos Fernandez-del Castillo (Harvard University)H-Index: 82
view all 7 authors...
Abstract Background Delayed gastric emptying (DGE) after pancreaticoduodenectomy increases length of hospital stay and costs, and may be influenced by surgical techniques. Methods We retrospectively compared 400 patients with antecolic gastrojejunostomy with 400 patients with retrocolic gastrojejunostomy for the occurrence of DGE. Results The prevalence of DGE was 15% in the antecolic group and 21% in the retrocolic group ( P = .021), and median length of stay was shorter for the former (8 vs 10...
13 CitationsSource
#1Yusuke Watanabe (Kyushu University)H-Index: 12
#2Takao Ohtsuka (Kyushu University)H-Index: 30
Last. MasaoTanaka (Kyushu University)H-Index: 76
view all 11 authors...
Abstract Background Several recent studies have suggested that Braun enteroenterostomy (BEE) during conventional pancreatoduodenectomy might decrease delayed gastric emptying (DGE). However, the advantages and disadvantages of performing BEE during pylorus-preserving pancreatoduodenectomy (PPPD) remain controversial. Methods The medical records of 185 patients who underwent PPPD either with or without BEE between January 2008 and June 2013 were retrospectively reviewed, and the postoperative cou...
20 CitationsSource
#1Ippei Matsumoto (Kobe University)H-Index: 19
#2Makoto Shinzeki (Kobe University)H-Index: 18
Last. Yonson Ku (Kobe University)H-Index: 35
view all 9 authors...
Background and Objectives Pylorus-preserving pancreatoduodenectomy (PPPD) has been associated with a high incidence of delayed gastric emptying (DGE). There are few studies comparing DGE associated with PPPD and subtotal stomach-preserving pancreatoduodenectomy (SSPPD). Moreover, differences between the procedures with respect to long-term results have not been reported. A prospective randomized study was conducted to compare perioperative complications and long-term nutritional status with PPPD...
30 CitationsSource
#1Naoya ImamuraH-Index: 7
#2Kazuo ChijiiwaH-Index: 44
Last. Kazuhiro KondoH-Index: 16
view all 7 authors...
Background Although an antecolic duodenojejunostomy was reported to reduce post-operative delayed gastric emptying (DGE) compared with a retrocolic duodenojejunostomy after a pylorus-preserving pancreaticoduodenectomy (PPPD), the long-term effects of these procedures have rarely been studied. The aim of this prospective, randomized, clinical trial was to investigate the influence of the reconstruction route on post-operative gastric emptying and nutrition.
26 CitationsSource
Cited By2
Newest
#1Diego Lopez-Torres (University of Navarra)H-Index: 6
#2Cesar Elosua (University of Navarra)H-Index: 16
Last. Francisco J. Arregui (University of Navarra)H-Index: 41
view all 3 authors...
Since the first publications related to microstructured optical fibers (MOFs), the development of optical fiber sensors (OFS) based on them has attracted the interest of many research groups because of the market niches that can take advantage of their specific features. Due to their unique structure based on a certain distribution of air holes, MOFs are especially useful for sensing applications: on one hand, the increased coupling of guided modes into the cladding or the holes enhances signifi...
Source
#1Jae Pil Jung (University of Pittsburgh)H-Index: 1
#2Mazen S. Zenati (University of Pittsburgh)H-Index: 28
Last. Melissa E. Hogg (University of Pittsburgh)H-Index: 17
view all 7 authors...
Importance Technical proficiency at robotic pancreaticoduodenectomy (RPD) and video assessment are promising tools for understanding postoperative outcomes. Delayed gastric emptying (DGE) remains a major driver of cost and morbidity after pancreaticoduodenectomy. Objective To determine if technical variables during RPD are associated with postoperative DGE. Design, Setting, and Participants A retrospective study was conducted of technical assessment performed in all available videos (n = 192) of...
3 CitationsSource
#1Kimitaka Tanaka (Hokkaido University)H-Index: 6
#2Toru Nakamura (Hokkaido University)H-Index: 13
Last. Satoshi Hirano (Hokkaido University)H-Index: 32
view all 12 authors...
Purpose The development of surgical site infection (SSI) after biliary reconstruction is highly influenced by the presence of preoperative bacteria in the bile juice. We selected vancomycin and piperacillin/tazobactam (VCM + PIPC/TAZ) as perioperative prophylactic antibiotics for patients undergoing pancreaticoduodenectomy. This study aimed to retrospectively analyze the effectiveness of VCM + PIPC/TAZ compared to cefmetazole.
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