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2014, Number 2

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Rev Latinoam Cir 2014; 4 (2)

Delayed gastric emptying after cephalic duodenopancreatectomy

Secondo G, Borgno L, Santiago P, Costa J, Sciuto P, Rodríguez JL

Language: Spanish
References: 39
Page: 83-90
PDF size: 478.15 Kb.


ABSTRACT

Background: Delayed gastric emptying (DGE) is one of the most frequent complications in cephalic pancreatoduodenectomy (CPD). However, it is often under-recorded. In this study we show the incidence of this complication in a series of 90 CPD according to the classification of ISGPS in 2007 and analyze the different factors that can produce it.
Material and methods: We performed a retrospective, descriptive, observational study. We searched the patients that had been operated since 1999 to 2014 by our team. We performed 16 pylorus-preserving pancreatoduodenectomies (PPPD) and 57 Whipple pancreatoduodenectomies (WPD). We excluded from this study 17 patients who had different associated complications that difficulted the interpretation of results, especially the pancreatic fistula type C frequently associated with DGE, which left 73 patients.
Results: Seven patients had DGE (9.4%), 6 type C (85%) and one type B (15%). We analyzed the clinical aspects in the light of updated information on DGE. Of the type C patients, three were male and three female, all in malignant disease. The ages were between 49 and 67 years, with an average of 58.16. Two of these patients with DGE were after PPPD (12.5%) and four after WPD (7%), p = 0.606. We analyzed all probable risk factors that could produce DGE.
Conclusions: DGE is a frequent complication after CPD that occurs both in PPPD and in WPD; the characteristics must be studied in each patient to design the best strategy for surgery when risk factors exist.


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