Delayed gastric emptying after pancreatoduodenectomy: an analysis of risk factors

This study aims to identify associated factors related to this complication in the Colombian population.MethodsA retrospective review of a prospectively collected database was conducted. All patients over 18  years of age who underwent pancreaticoduodenectomy were included. Associations with DGE syndrome were evaluated with logistic regression analysis, Odds ratio, and b-coefficient were provided when appropriate.Results205 patients were included. Male patients constituted 54.15% (n = 111). 53 patients (25.85%) were diagnosed with DGE syndrome. Smoking habit (OR 17.58p 0.00 95% CI 7.62 –40.51), hydromorphone use >  0.6 mg/daily (OR 11.04p 0.03 95% CI 1.26 –96.66), bilirubin levels >  6 mg/dL (OR 2.51p 0.02 95% CI 1.12 –5.61), and pancreatic fistula type B (OR 2.72p 0.02 CI 1.74 –10.00).DiscussionSmoking history, opioid use (hydromorphone  >  0.6 mg/Daily), type B pancreatic fistula, and bilirubin levels >  6 mg/dL should be considered as risk factors for DGE.
Source: Updates in Surgery - Category: Surgery Source Type: research