Article
Surgery
Yun Ho Lee, Young Hoe Hur, Hee Joon Kim, Choong Young Kim, Jin Woong Kim
Summary: This study found a higher incidence of delayed gastric emptying (DGE) in patients undergoing pylorus-preserving pancreaticoduodenectomy (PpPD) compared to pylorus-resecting pancreaticoduodenectomy (PrPD) by a single surgeon. Pylorus preservation and clinically relevant postoperative pancreatic fistula were identified as risk factors for DGE.
ASIAN JOURNAL OF SURGERY
(2021)
Article
Surgery
Matthias C. Schrempf, David R. M. Pinto, Johanna Gutschon, Christoph Schmid, Michael Hoffmann, Bernd Geissler, Sebastian Wolf, Florian Sommer, Matthias Anthuber
Summary: The study indicated that intraoperative endoluminal pyloromyotomy during pylorus-preserving pancreaticoduodenectomy was associated with a reduced risk for delayed gastric emptying. Additionally, the presence of an intra-abdominal complication was identified as an independent risk factor for delayed gastric emptying.
LANGENBECKS ARCHIVES OF SURGERY
(2021)
Article
Medicine, Research & Experimental
Matthias C. Schrempf, David R. M. Pinto, Sebastian Wolf, Bernd Geissler, Florian Sommer, Michael Hoffmann, Dmytro Vlasenko, Johanna Gutschon, Matthias Anthuber
Summary: This study aims to investigate the effect of intraoperative endoluminal pyloromyotomy on delayed gastric emptying (DGE) after pylorus-preserving pancreaticoduodenectomy (ppPD). The randomized trial will compare the rate of DGE and other secondary endpoints between patients who receive endoluminal pyloromyotomy and patients who undergo atraumatic stretching of the pylorus.
Article
Multidisciplinary Sciences
Shih-Hao Mao, Bor-Shiuan Shyr, Shih-Chin Chen, Shin-E Wang, Yi-Ming Shyr, Bor-Uei Shyr
Summary: The study found that robotic pancreaticouodenectomy (RPD) had a lower incidence of delayed gastric emptying (DGE) compared to open pancreaticouodenectomy (OPD). Nausea/vomiting, jaundice, malignancy, and lymph node involvement were identified as significant risk factors for DGE. Intraoperative blood loss and postoperative complications were not significantly associated with DGE, but the hospital stay was longer in patients with DGE.
SCIENTIFIC REPORTS
(2022)
Article
Surgery
J. Busquets, S. Martin, Ll Secanella, M. Sorribas, N. Cornella, J. Altet, N. Pelaez, M. Bajen, T. Carnaval, S. Videla, J. Fabregat
Summary: A clinical trial compared the incidence and severity of DGE between classical Whipple and PPPD, finding no significant differences. In addition to DGE, there were no significant differences between the two surgical techniques in terms of postoperative complications, length of hospital stay, and nutritional status.
LANGENBECKS ARCHIVES OF SURGERY
(2022)
Article
Surgery
Teruo Komokata, Kensuke Nuruki, Nobuhiro Tada, Ryo Imada, Bibek Aryal, Mamoru Kaieda, Soji Sane
Summary: This study described the PG technique following SSPPD and evaluated perioperative outcomes. The results showed that this novel method is a safe and dependable procedure with acceptable morbidity and mortality.
ASIAN JOURNAL OF SURGERY
(2021)
Article
Gastroenterology & Hepatology
Natalia Paez Arango, Laura R. Prakash, Yi-Ju Chiang, Whitney L. Dewhurst, Morgan L. Bruno, Naruhiko Ikoma, Michael P. Kim, Jeffrey E. Lee, Matthew H. G. Katz, Ching-Wei D. Tzeng
Summary: Implementation of risk-stratified pancreatectomy clinical pathways (RSPCPs) can significantly reduce the risk of delayed gastric emptying (DGE) after pancreaticoduodenectomy (PD). Factors such as postoperative abscess and non-white patients are associated with higher rates of DGE. Early nasogastric tube removal within 48 hours is associated with lower rates of DGE.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Biology
Jana Enderes, Christiane Pillny, Hanno Matthaei, Steffen Manekeller, Joerg C. Kalff, Tim R. Glowka
Summary: There is no difference in the occurrence and severity of delayed gastric emptying in obese patients compared to non-obese patients after pancreatic surgery. The mortality rate does not differ between the two groups.
Article
Surgery
Luca Morelli, Gregorio Di Franco, Niccolo Furbetta, Matteo Palmeri, Simone Guadagni, Desiree Gianardi, Cristina Carpenito, Annalisa Comandatore, Elisa Giovannetti, Giulio Di Candio, Alfred Cuschieri
Summary: This study compared the clinical outcomes and incidence of delayed gastric emptying (DGE) between open and robotic-assisted pancreatoduodenectomy (PpPD) and found that the robotic approach was associated with a lower incidence of DGE and a shorter hospital stay.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2023)
Article
Surgery
Jinzhu Zhang, Shu Li, Weihua Zhu, Xisheng Leng, Jie Gao, Dafang Zhang
Summary: This study evaluated the effectiveness and safety of pancreaticoduodenectomy (PD) with subtotal gastric resection in reducing delayed gastric emptying (DGE). The results showed that subtotal gastrectomy PD can reduce the incidence of DGE and shorten the length of hospital stay compared to conventional PD. Additionally, high body mass index (BMI) was identified as an independent risk factor for postoperative DGE.
Review
Surgery
Tim H-H Wang, Anthony Y. Lin, Keno Mentor, Gregory O'Grady, Sanjay Pandanaboyana
Summary: This literature review aimed to identify objective measures of DGE following PD and determine their correlation with the clinical definition of DGE. Four objective modalities were found, with gastric scintigraphy showing the most evidence of correlation. However, there is substantial variability in the literature regarding the indications and interpretation of these tests, highlighting the need for a real-time objective modality that correlates with ISGPS DGE definition after PD.
WORLD JOURNAL OF SURGERY
(2023)
Article
Surgery
Jana Enderes, Jessica Teschke, Martin von Websky, Steffen Manekeller, Joerg C. Kalff, Tim R. Glowka
Summary: The study shows that smokers have a lower incidence of delayed gastric emptying syndrome (DGE) after pancreatoduodenectomy and tolerate solid food intake more quickly. Smokers are typically younger, predominantly male, with a higher prevalence of pulmonary conditions and alcohol abuse.
Review
Surgery
C. Varghese, S. Bhat, T. H-H Wang, G. O'Grady, S. Pandanaboyana
Summary: Based on existing RCT evidence, a pylorus-resecting, antecolic, Billroth II with Braun enteroenterostomy seems to be associated with the lowest rates of delayed gastric emptying (DGE) after pancreaticoduodenectomy.
Article
Gastroenterology & Hepatology
Cagri Bilgic, Erman Sobutay, Orhan Bilge
Summary: This study identified diabetes mellitus, preoperative biliary stent, and pylorus resection as independent risk factors for delayed gastric emptying after pancreaticoduodenectomy (PD). Pylorus preservation should be the standard of care in PD.
Review
Surgery
Shangnan Dai, Yunpeng Peng, Guangfu Wang, Lingdi Yin, Han Yan, Chunhua Xi, Feng Guo, Jianmin Chen, Min Tu, Zipeng Lu, Jishu Wei, Wentao Gao, Kuirong Jiang, Junli Wu, Yi Miao
Summary: This meta-analysis identified potential risk factors for delayed gastric emptying after pancreaticoduodenectomy or pylorus-preserving pancreaticoduodenectomy. Age, preoperative biliary drainage, pancreas texture, pancreatic duct size, blood loss, postoperative pancreatic fistula, intra-abdominal collection, and intra-abdominal abscess were significantly associated with delayed gastric emptying.
INTERNATIONAL JOURNAL OF SURGERY
(2023)