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RISK FACTORS IN DEVELOPING DELAYED GASTRIC EMPTYING AFTER PANCREATO-DUODENECTOMY

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Author(s): Dana Iancu | A. Bartoș | L. Mocanu | Teodora Mocanu | Raluca Bodea | F. Zaharie | Andra Andreescu | C. Iancu

Journal: Jurnalul de Chirurgie
ISSN 1584-9341

Volume: 7;
Issue: 1;
Start page: 33;
Date: 2011;
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Keywords: PANCREATIC CANCER | SURGICAL INTERVENTION | DELAYED GASTRIC EMPTYING | PREDICTIVE FACTORS

ABSTRACT
Introduction: Even now, the surgery for the pancreatic cancer is a very debatable subject because of it’s high morbidity. Among the postoperatory complications, with a high impact on the patient, is the delayed gastric emptying. Material and methods: The aim of this study is to find the potential risk factors in the delayed gastric emptying after pancreato-duodenectomy. This is a prospective study from 2008 till 2010, done in Surgery Clinic no III of Cluj-Napoca. 128 patients with periampular cancer on which pancreato-duodenectomy was performed were included in the study. Results: The rate of having delayed gastric emptying after pancreato-duodenectomy was 18%. All the patients with this complication had many postoperatory complications (p=0,00). 19% of the patients with anemia developed delayed gastric emptying. The percent of fat people that developed delayed gastric emptying was 35% vs 12% which had normal weight; these data were statistically valid (p=0,007). The patients with internal bleeding developed delayed gastric emptying in 22% of the cases instead of 9% in the ones that did not have internal bleeding. DZ, a longer intraoperative time, a soft pancreatic parenchyma will not raise the probability of developing delayed gastric emptying. Conclusions: The delayed gastric emptying is the most frequent complication following duodenopancreatic surgery. The risc factors that are involved in it’s appearance are: obese patients and the presence of multiple postoperatory complications.
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