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《West China Medical Journal》 2001-01
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Delayed Gastric Emptying after Pancreatoduodenectomy

LIU Zhi-ming,LIN Qi-yuɑu,XANG Chun-huɑ,et ɑl.(Department of General Surgery,First University Hospital,West China University of Medical Sciences,Chengdu 610041,China)  
To find out what factors influence the development of delayed gastric emptying(DGE)after pancreatoduodenectomy.Methods:Two hundred and fifteen patiens who underwent pancreaticoduodenectomy were analyzed.Results:The overall mortality rate was 6 5%.Eighty saven patients(40 5%)developed postoperative complicatons,in which 58 patients(27%) developed DGE.Diabetes and the albumin ralue less than 30g/L before operation and the complecations other than DGE had direct relation with the development of DGE both in the univariate and multivariate analysis( P 0 05);once DGE developed the postoperative hospital days wouled be remarkedly icreased.Conclusions:DGE continued to affect a considerable numder of our patients(27%).After pancreatoduodenectomy the incidence of DGE is still tigh patients with diabetes,malnutrition,and other postoperative complications.However,gastric motility does return in 3 to 6 weeks in most of the patients and re operation for gastric stasis is rarely needed.
【CateGory Index】: R656.6
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【References】
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1 WANG Yong-gang, YE Qi-fa, QI Hai-zhi(Xiang Ya Organ Transplantation Institute,the Third Xiang Ya Hospital of Central South University, Changsha,410083, China);Pancreatoduodenectomy Appending Braun's Anastomosis for Periampullary Tumour[J];Journal of Clinical Research;2006-11
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【Co-references】
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1 HE Ke-Ji1, JIAO Xing-Yuan2, YANG Xue-Wei2, HU Yi-Ze21. Department of Hepatobiliary Surgery, Gansu Provincial Tumor Hospital, Lanzhou, Gansu, 730050, P. R. China2. Department of General Surgery, The Second Affiliated Hospital, Guangzhou Medical Collage, Guangzhou, Guangdong, 510260, P. R. China;Risk Factors of Postoperative Complications of Pancreatoduodenectomy[J];Chinese Journal of Cancer;2008-01
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【Secondary References】
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1 LIAO Chun-hong(Department of Hepatobiliary Surgery,People's Hospital of Hunan Province,Changsha 410005,Hunan,China);Prevention and Treatment of Postoperative Gastroparesis Syndrome after Pancreatobiliary Surgery(20 Cases Report)[J];Chinese Journal of Modern Operative Surgery;2009-01
2 ZHOU Jianping,DONG Ming,KONG Fanmin,LI Yuji,TIAN Yulin(Department of Panreatic and Gastroenterologic Surgery,the First Affiliated Hospital,China Medical University,Shenyang 110001,China);Clinical application of pancreatoduodenectomy complemented with side-to-side jejunojejunostomy[J];Chinese Journal of General Surgery;2010-09
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