1st Surgical Department, Agia Olga Hospital, Athens, Greece.
HPB (Oxford). 2008;10(6):472-6. doi: 10.1080/13651820802286928.
The aim of our study focuses upon prevention of delayed gastric emptying (DGE) after pancreaticoduodenectomy using a alternative reconstruction procedure.
Forty consecutive patients underwent a typical pylorus-preserving pancreaticoduodenectomy (PPPD) with antecolic reconstruction in a two-year period (January 2002 until January 2004), while a similar group of 40 consecutive patients underwent PPPD with application of pyloric dilatation between January 2004 and January 2006. Early and late complications were compared between the two groups.
DGE occurred significantly more often in the group of patients treated by the classical PPPD technique (nine patients -22%) compared with those operated on with the addition of pyloric dilatation technique (two patients -5%) (p<0.05). The incidence of other complications did not differ significantly between the two groups.
The application of dilatation may decrease the incidence of DGE after PPPD and facilitates earlier hospital discharge.
我们的研究旨在通过采用替代重建手术预防胰十二指肠切除术后的胃排空延迟（DGE）。
在两年期间（2002 年 1 月至 2004 年 1 月），40 例连续患者接受了典型的保留幽门胰十二指肠切除术（PPPD）伴结肠前重建，而在 2004 年 1 月至 2006 年 1 月期间，40 例连续患者接受了 PPPD 伴幽门扩张术。比较两组之间的早期和晚期并发症。
与接受经典 PPPD 技术治疗的患者（9 例，22%）相比，接受幽门扩张术治疗的患者（2 例，5%）DGE 发生率显著更高（p<0.05）。两组之间其他并发症的发生率无显著差异。
扩张术的应用可能会降低 PPPD 后 DGE 的发生率，并促进患者更早出院。
