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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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【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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