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Title of Journal: J Gastrointest Surg

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Abbravation: Journal of Gastrointestinal Surgery

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Springer US

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DOI

10.1007/s11465-009-0027-8

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1873-4626

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Reduction of the Incidence of Delayed Gastric Empt

Authors: Toru Nakamura Yoshiyasu Ambo Takehiro Noji Naoya Okada Minoru Takada Toru Shimizu On Suzuki Fumitaka Nakamura Nobuichi Kashimura Akihiro Kishida Satoshi Hirano
Publish Date: 2015/06/11
Volume: 19, Issue: 8, Pages: 1425-1432
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Abstract

One of the most common morbidities of pancreaticoduodenectomies is delayed gastric emptying DGE The recent advent of subtotal stomachpreserving pancreaticoduodenectomy SSPPD attempts to lessen this troublesome complication however the incidence of DGE still remains to be 45–20  This study aims to evaluate whether the incidence of DGE can be reduced by the sidetoside gastric greater curvaturetojejunal anastomosis in comparison with the gastric stumptojejunal endtoside anastomosis in SSPPDBetween October 2007 and September 2012 a total of 160 consecutive patients who had undergone SSPPD were analyzed retrospectively In the first period October 2007–March 2010 gastrojejunostomy was performed with endtoside anastomosis in 80 patients SSPPDETS group In the second period April 2010–September 2012 gastrojejunostomy was performed with the greater curvature sidetojejunal side anastomosis in 80 patients SSPPDSTS group The postoperative data were collected prospectively in a database and reviewed retrospectivelyThe incidence of DGE was 213  in the SSPPDETS group and 25  in the SSPPDSTS group P = 00002 According to the classification of the International Study Group of Pancreatic Surgery ISGPS the incidence of DGE of grades A B and C were 5 5 and 7 in the SSPPDETS group and 0 2 and 0 in the SSPPDSTS group respectively The overall morbidity and postoperative hospital stay of the two groups were not significantly differentThe authors thank Drs Kiyotaka Imamura Yoshihide Nanno Mayu Shimaguchi and Minori Ishii for their support in this study Also we thank the health care information managers and medical clerks who have participated in this study in collecting the patient data and Dr Christine Kwan for help in preparing the English manuscript

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