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. 2008;10(6):472-6.
doi: 10.1080/13651820802286928.

Antecolic gastrointestinal reconstruction with pylorus dilatation. Does it improve delayed gastric emptying after pylorus-preserving pancreaticoduodenectomy?

Konstantinos Manes  1 , Dimitrios Lytras, Costas Avgerinos, Spiros Delis, Christos Dervenis
Affiliations

Antecolic gastrointestinal reconstruction with pylorus dilatation. Does it improve delayed gastric emptying after pylorus-preserving pancreaticoduodenectomy?

Konstantinos Manes et al. HPB (Oxford). 2008.

Abstract

Objective: The aim of our study focuses upon prevention of delayed gastric emptying (DGE) after pancreaticoduodenectomy using a alternative reconstruction procedure.

Method: Forty consecutive patients underwent a typical pylorus-preserving pancreaticoduodenectomy (PPPD) with antecolic reconstruction in a two-year period (January 2002 until January 2004), while a similar group of 40 consecutive patients underwent PPPD with application of pyloric dilatation between January 2004 and January 2006. Early and late complications were compared between the two groups.

Results: DGE occurred significantly more often in the group of patients treated by the classical PPPD technique (nine patients -22%) compared with those operated on with the addition of pyloric dilatation technique (two patients -5%) (p<0.05). The incidence of other complications did not differ significantly between the two groups.

Conclusions: The application of dilatation may decrease the incidence of DGE after PPPD and facilitates earlier hospital discharge.

Keywords: delayed gastric emptying (DGE); pyloric dilatation; pylorus-preserving pancreaticoduodenectomy.

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