Analysis of factors influencing delayed gastric emptying after pancreatoduodenectomy
WANG Zhi-jun,WU Yang,XIE Zhi-zheng,et al.(Department of General Surgery,the First Hospital,Zhengzhou University,Zhengzhou 450052, China)
Objective To determine the factors influencing the development of delayed gastric emptying (DGE) after pancreatoduodenectomy (PD).Methods The data of 123 consecutive patients undergone PD from Dec.1994 to Dec.2003 were analyzed retrospectively.Results The incidence of DGE was 21.1%(26/123).Univariate analysis showed amount of blood loss, operative procedure,length of removed proximal jejunum,biliary fistula,intraabdomianal infection,postoperative serum albumin concentration,postoperative gas passage, average volume of gastric and biliary drainage every day during the first 3 postoperative days were significantly associated with DGE.Multivariate analysis using logistic regression identified 6 variables as independent factors associated with DGE:intraabdomianal infection (P=0.017),operative procedure (P0.001),amount of blood loss (P=0.001),postoperative gas passage (P=0.003),average volume of gastric and biliary drainage every day during the first 3 postoperative days (P=0.002,P=0.030).Conclusion Intraabdomianal infection, PPPD and operative blood loss more than or equal to 1 000 ml play an important role in the development of DGE after PD.These patients manifest prolonged postoperative gas passage,increased average volume of gastric drainage every day during the first 3 postoperative days and decreased biliary drainage.
【CateGory Index】： R656