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An Antecolic Roux-en Y type Reconstruction Decreased Delayed Gastric Emptying after Pylorus-Preserving Pancreatoduodenectomy

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Journal of Gastrointestinal Surgery Aims and scope

Abstract

The aim of this study was to identify a preferable procedure reducing the incidence of delayed gastric emptying (DGE) after pylorus-preserving pancreatoduodenectomy (PPPD). Data on 132 consecutive patients with pancreatobiliary disease, who underwent PPPD, were collected retrospectively. A retrocolic Billroth I type reconstruction (B-I group) and an antecolic Roux-en Y type reconstruction (R-Y group) were performed for 54 and 78 patients after PPPD, respectively. Clinical measures of DGE were compared between the two groups. The incidence of DGE was 81% in B-I group and 10% in R-Y group (P < 0.001). The type of reconstruction (P < 0.001), operative time (P = 0.016), and postoperative complications (P = 0.001) were significantly associated with DGE by univariate analysis. Only the type of reconstruction (P < 0.001) was identified as an independent factor, which was associated with DGE by multivariate analysis. An antecolic Roux-en Y type duodenojejunostomy could be a useful reconstruction method after PPPD to prevent the occurrence of DGE.

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Authors and Affiliations

  1. Department of Surgery, Division of Clinical Medical Science, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima,, 734-8551, Japan

    Yoshiaki Murakami, Kenichiro Uemura, Takeshi Sudo, Yasuo Hayashidani, Yasushi Hashimoto, Naoya Nakagawa, Hiroki Ohge & Taijiro Sueda

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  1. Yoshiaki Murakami
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  2. Kenichiro Uemura
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  3. Takeshi Sudo
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  4. Yasuo Hayashidani
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  5. Yasushi Hashimoto
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  6. Naoya Nakagawa
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  7. Hiroki Ohge
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  8. Taijiro Sueda
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Correspondence to Yoshiaki Murakami.

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Murakami, Y., Uemura, K., Sudo, T. et al. An Antecolic Roux-en Y type Reconstruction Decreased Delayed Gastric Emptying after Pylorus-Preserving Pancreatoduodenectomy. J Gastrointest Surg 12, 1081–1086 (2008). https://doi.org/10.1007/s11605-008-0483-1

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  • DOI: https://doi.org/10.1007/s11605-008-0483-1

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