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Research Article |

Slowing of Motor–Evacuation Function of the Stomach After Pancreatoduodenectomy: A Modern Approach to the Problem

To investigate the effectiveness of the existing methods of forming anastomoses and to determine the influencing factors on the development of delayed gastric emptying (DGE) or slowing of motor–evacuation function of the stomach. An assessment of the frequency, features of the clinical course of DGE after pancreatoduodenectomy, in cases with underwent pylorus-preserving pancreaticoduodenectomy (PPPD), and pylorus-removing pancreaticoduodenectomy (PrPD), the way of reconstruction of the gastrointestinal tract based on the analysis of the given options for surgical interventions. A retrospective study was conducted of 102 patients between January 2019 and November 2021 who underwent Traverso pylorus-preserving pancreaticoduodenectomy and pylorus-removing pancreaticoduodenectomy. The patients were divided into two groups: I - 26 patients who had delayed gastric emptying and II - 76 patients without symptoms of DGE. complications occurred in 42% (43 patients), and DGE was diagnosed in 25.5% (26) of 102 patients. An postoperative pancreatic fistulas (POPF) was found in 14% (14 patients), and clinically significant fistulas (grades B and C) in 9% (9 patients). Among 26 patients, DGE in 16 patients had the degree of severity A, 8 - B, and 2 - C. The type of gastrojejunostomy (P < 0.05) significantly affects the occurrence of DGE. The type of pancreaticojejunostomy anastomosis (P = 0.85) does not affect the occurrence of delayed evacuation from the stomach. Patients with complications were discharged from the hospital 6 days later on average. General surgical complications (P ≤ 0.001); pancreatic fistula (P <0.05) is significantly associated with a clinically significant delay in DGE; biliary fistulae (P = 0.75), bleeding (P = 0.44) - no correlation was noted. The data obtained from the study of influencing factors are presented in Table 1.

Delayed Gastric Emptying (DGE), Pancreaticoduodenectomy (PD), Pylorus-Removing Pancreaticoduodenectomy (PrPD), Pylorus-Preserving Pancreaticoduodenectomy (PPPD), Postoperative Pancreatic Fistulas (POPF)

APA Style

Oleksandr Usenko, Volodymyr Kopchak, Oleksandr Lytvyn, Andrii Deinychenko, Serhii Motelchuk, et al. (2023). Slowing of Motor–Evacuation Function of the Stomach After Pancreatoduodenectomy: A Modern Approach to the Problem. American Journal of Internal Medicine, 11(4), 67-70. https://doi.org/10.11648/j.ajim.20231104.12

ACS Style

Oleksandr Usenko; Volodymyr Kopchak; Oleksandr Lytvyn; Andrii Deinychenko; Serhii Motelchuk, et al. Slowing of Motor–Evacuation Function of the Stomach After Pancreatoduodenectomy: A Modern Approach to the Problem. Am. J. Intern. Med. 2023, 11(4), 67-70. doi: 10.11648/j.ajim.20231104.12

AMA Style

Oleksandr Usenko, Volodymyr Kopchak, Oleksandr Lytvyn, Andrii Deinychenko, Serhii Motelchuk, et al. Slowing of Motor–Evacuation Function of the Stomach After Pancreatoduodenectomy: A Modern Approach to the Problem. Am J Intern Med. 2023;11(4):67-70. doi: 10.11648/j.ajim.20231104.12

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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