caa a22 4500 606207023 CHVBK 20210128101014.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s10353-015-0311-2 doi (NATIONALLICENCE)springer-10.1007/s10353-015-0311-2 Antecolic anastomosis and delayed gastric emptying: still a benefit in patients without intra-abdominal complications? [Elektronische Daten] [M. Beisani, C. Dopazo, L. Blanco, M. Caralt, G. Sapisochín, J-J Olsina, J. Balsells] Summary: Background/Aims: The etiology of delayed gastric emptying (DGE) after pylorus-preserving pancreatoduodenectomy (PPPD) is unclear. This study aimed to ascertain the incidence of DGE in a transmesocolic anastomosis (TA) versus an antecolic anastomosis (AA) group of patients. Methods: Retrospective study including the last 40 consecutive patients with TA (2004-2006) and the first 40 consecutive patients with AA (2006-2010) performed at our centre. Preoperative, surgical and postoperative data were prospectively collected until patient discharge. Results: No preoperative differences were found. Overall postoperative morbidity was higher in the TA group (75  vs 47 %; p = 0.012). No significant differences in DGE were found (TA: 35 % vs AA: 20 %; p = 0.1). Termino-terminal pancreatic anastomosis, gastrostomy, prophylactic somatostatin and the presence of intra-abdominal collections were associated with DGE. On multivariate analysis, only intra-abdominal collections (OR: 4.95 % CI: 1.36-11.8; p = 0.012) predicted DGE. Among patients without other surgical complications (n = 46), DGE rate was significantly higher in the TA group (TA: 38 % vs AA: 12 %, p = 0.04). Conclusions: Overall, no significant differences in DGE were found between groups. AA could be a protective factor for DGE when no other surgical complications appear. Springer-Verlag Wien, 2015 Antecolic anastomosis nationallicence Delayed gastric emptying nationallicence Gastroparesis nationallicence Pancreatoduodenectomy nationallicence Pancreatic surgery nationallicence Surgical complications nationallicence DGE : Delayed gastric emptying nationallicence AA : Antecolic anastomosis nationallicence TA : Transmesocolic anastomosis nationallicence OR : Odds ratio nationallicence CI : Confidence interval nationallicence PPPD : Pylorus-preserving pancreatoduodenectomy nationallicence T-L : Termino-lateral nationallicence T-T : Termino-terminal nationallicence ISGPS : International Study Group of Pancreatic Surgery nationallicence ASA : American Society of Anesthesiologists risk score nationallicence POD : Postoperative day nationallicence IQR : Interquartile range nationallicence Beisani M. Department of HBP Surgery and Transplant, Hospital Universitari Vall d'Hebrón, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain aut Dopazo C. Department of HBP Surgery and Transplant, Hospital Universitari Vall d'Hebrón, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain aut Blanco L. Department of HBP Surgery and Transplant, Hospital Universitari Vall d'Hebrón, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain aut Caralt M. Department of HBP Surgery and Transplant, Hospital Universitari Vall d'Hebrón, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain aut Sapisochín G. Department of HBP Surgery and Transplant, Hospital Universitari Vall d'Hebrón, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain aut Olsina J-J Department of Surgery, Hospital Arnau de Vilanova, Lleida, Spain aut Balsells J. Department of HBP Surgery and Transplant, Hospital Universitari Vall d'Hebrón, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain aut European Surgery Springer Vienna 47/3(2015-06-01), 101-106 1682-8631 47:3<101 2015 47 10353 https://doi.org/10.1007/s10353-015-0311-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10353-015-0311-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Beisani M. Department of HBP Surgery and Transplant, Hospital Universitari Vall d'Hebrón, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain aut NATIONALLICENCE 700 1- Dopazo C. Department of HBP Surgery and Transplant, Hospital Universitari Vall d'Hebrón, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain aut NATIONALLICENCE 700 1- Blanco L. Department of HBP Surgery and Transplant, Hospital Universitari Vall d'Hebrón, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain aut NATIONALLICENCE 700 1- Caralt M. Department of HBP Surgery and Transplant, Hospital Universitari Vall d'Hebrón, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain aut NATIONALLICENCE 700 1- Sapisochín G. Department of HBP Surgery and Transplant, Hospital Universitari Vall d'Hebrón, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain aut NATIONALLICENCE 700 1- Olsina J-J Department of Surgery, Hospital Arnau de Vilanova, Lleida, Spain aut NATIONALLICENCE 700 1- Balsells J. Department of HBP Surgery and Transplant, Hospital Universitari Vall d'Hebrón, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/3(2015-06-01), 101-106 1682-8631 47:3<101 2015 47 10353