Delayed gastric emptying after pancreatico duodenectomy. Thought about 132 operations

Seance of wednesday 27 march 2013 (COMMUNICATIONS LIBRES)

Abstract

Delayed gastric emptying is a relatively common complication in patients after pancreaticoduodenectomy and significantly contributes to their postoperative morbidity. The clinical risk factors of delayed gastric emptying (DGE) in patients after pancreaticoduodenectomy remains controversial. From January 2004 to December 2011, a total of 132 patients underwent pancreaticoduodenectomy for cancer (73,5%), or benign indications (26,5%). Postoperative mortality was 3% and morbidity was 44,7%. Delayed gastric empting was defined by the International Study Group of Pancreatic Surgery classification. Factors associated with grades B and C of DGE (28,8%), based on severity and clinical impact, were assessed by univariable and multivariable analyses. In those patients, experiencing clinical DGE (grade B or C), other postoperative complications were the most important factor associated with its occurrence: secondary DGE. In primary DGE, surgery impair migrating motor complex of the gastrointestinal tract and motiline production.