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Delayed Gastric Emptying After Pancreaticoduodenectomy by Mena M. Hanna; Rahul Gadde; Casey J. Allen; Jonathan P. Meizoso; Danny Sleeman; Alan S. Livingstone; Nipun Merchant; Danny Yakoub is a Medicine article available to read on EtoBox.

What is Delayed Gastric Emptying After Pancreaticoduodenectomy about?

## Background: Delayed gastric emptying (dge) remains an unsolved complication after pancreaticoduodenectomy (pd) with conflicting reports of its cause. we aimed to compare the effect of surgical techniques involving the stomach in pd in lowering the risk of postoperative dge. ## Methods: Online search and review of key bibliographies in pubmed, medline, embase, scopus, cochrane, and google scholar was performed. studies comparing pd surgical techniques were identified. primary outcome was postoperative dge. methodological quality was assessed using strengthening the reporting of observational studies in epidemiology and consolidated standards of reporting trials. calculated pooled relative risk and odds ratios (ors) with the corresponding 95% confidence interval (ci) were used in the meta-analyses. ## Results: Overall, 376 studies were reviewed, of which 22 studies were selected including a total of 5172 patients. the incidence of dge was lower in antecolic compared with retrocolic gastrojejunostomy (risk ratio [rr], 0.260; ci, 0.157-0.431; p < 0.001; n = 1067 patients) and in subtotal stomach preserving pd compared with pylorus preserving pd (rr, 0.527; ci, 0.363-0.763; p < 0.001

Who reads Delayed Gastric Emptying After Pancreaticoduodenectomy?

Author

Mena M. Hanna; Rahul Gadde; Casey J. Allen; Jonathan P. Meizoso; Danny Sleeman; Alan S. Livingstone; Nipun Merchant; Danny Yakoub

Published

2016

Language

EN

Field

Medicine (Health Sciences)