Faculty Collaboration Database

Method of pyloric reconstruction and impact upon delayed gastric emptying and hospital stay after pylorus-preserving pancreaticoduodenectomy. J Gastrointest Surg 2006 Feb;10(2):215-9

Date

02/04/2006

Pubmed ID

16455453

DOI

10.1016/j.gassur.2005.07.017

Scopus ID

2-s2.0-31944440002 (requires institutional sign-in at Scopus site)   51 Citations

Abstract

Preservation of the pylorus at the time of pancreaticoduodenectomy has been associated with equal oncological outcomes when compared to the classical Whipple operation. Multiple studies have demonstrated that pylorus-preserving pancreaticoduodenectomy (PPPD) has equal or superior outcomes regarding quality of life when compared with the traditional Whipple operation, but many studies have suggested a higher incidence of delayed gastric emptying (DGE). DGE prolongs hospital stay, and its association with PPPD has hampered its adoption by many pancreatic surgery centers. We describe a novel surgical technique for the prevention of delayed gastric emptying following pylorus-preserving pancreaticoduodenectomy. The technique of pyloric dilatation appears to decrease the incidence of delayed gastric emptying and facilitates earlier hospital discharge, when compared with standard pylorus preserving pancreaticoduodenectomy.

Author List

Fischer CP, Hong JC

MESH terms used to index this publication - Major topics in bold

Abdominal Abscess
Aged
Blood Loss, Surgical
Cohort Studies
Dilatation
Female
Gastric Emptying
Humans
Length of Stay
Male
Middle Aged
Pancreatic Fistula
Pancreatic Neoplasms
Pancreaticoduodenectomy
Pancreatitis
Patient Discharge
Postoperative Complications
Prospective Studies
Pylorus
Risk Factors
Treatment Outcome