Special Editions
Delayed gastric emptying after pancreaticoduodenectomy
2019 Volume 34 Issue 4 Pages 138-143
Details
2019 Volume 34 Issue 4 Pages 138-143
Delayed gastric emptying (DGE) is a postoperative complication of pancreaticoduodenectomy and occurs in 20 to 25% of patients.
It is sometimes intractable and affects not only patient quality of life but also the prognosis by interfering with administration of adjuvant therapy. DGE is associated with the surgical procedure used for pancreaticoduodenectomy. Pylorus preservation has been proven to be a risk-factor for DGE compared to pyloric resection. Billroth II reconstruction has been reported to be better than Billroth I or Roux-en-Y, and the antecolic route is recommended over the retrocolic route as a route for gastrojejunostomy to limit the occurrence of DGE. However, the precise mechanism of DGE is still unknown, and we should consider the origin of DGE in each patient.
