Analysis Of Risk Factors For Functional Delayed Gastric Emptying After Pylorus-preserving Pancreatoduodenectomy(PPPD)

ObjectiveTo investigate the risk factors, diagnosis and treatments, preventions of functional delayed gastric emptying (FDGE) after pylorus-preserving Pancreatoduodenectomy (PPPD).MethodsA retrospective analysis was made on clinical data 182 cases (2000-2009) undergoing PPPD by means of the case-control study.Results70 cases developed postoperative complications in 182 patients(38.5%), in which 31 patients developed FDGE(17.0%). The development of FDGE had remarkable relation with the complications excluding FDGE(p=0.001) and diabetes(p<0.001),besides, the patients complicated with FDGE comparing with the non functional delayed gastric emptying(NFDGE)group,the album was declined obviously(p=0.001).ConclusionIn the patients undergoing PPPD,preoperative control of the blood sugar,preoperative correction of hypoproteinemia and hyperbilirubinemia,and centralizing PPPD in high-volume have possibly positive significance for the prevention of FDGE.