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胃造口术作为胰十二指肠切除术后预防胃排空延迟的一项措施：一项小型病例系列研究及文献综述

Gastrostomy as a Preemptive Measure after Pancreatoduodenectomy against Delayed Gastric Emptying: A Small Case Series and a Review of the Literature.

作者信息

Floros G, Galanis I, Theodoropoulos P, Bartziotas D, Theodoropoulos C, Metaxa M, Giannos G, Tsintavis P, Stylianidis G, Klimopoulos S

机构信息

2nd Surgical Department Evaggelismos Hospital, Athens, Greece.

出版信息

Case Rep Surg. 2021 Feb 23;2021:6649914. doi: 10.1155/2021/6649914. eCollection 2021.

DOI:10.1155/2021/6649914
PMID:33680529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7925062/
Abstract

Delayed gastric emptying (DGE) is a common (20-30%) postoperative complication following pancreatoduodenectomy (PD) (Parmar et al., 2013). Various causes and preemptive measures have been suggested to decrease the occurrence of DGE. We added a simple step in the procedure of 26 consecutive pancreatic head resections, which seems to alleviate DGE and has never been highlighted before.

摘要

胃排空延迟（DGE）是胰十二指肠切除术（PD）后常见的（20%-30%）术后并发症（Parmar等人，2013年）。已提出多种病因及预防措施以减少DGE的发生。我们在连续26例胰头切除术的手术过程中增加了一个简单步骤，这似乎减轻了DGE，且此前从未被强调过。

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本文引用的文献

1
Pylorus preserving pancreaticoduodenectomy.保留幽门的胰十二指肠切除术。
Clin Liver Dis (Hoboken). 2015 Apr 21;5(3):54-58. doi: 10.1002/cld.463. eCollection 2015 Mar.
2
Meta-analysis of delayed gastric emptying after pylorus-preserving versus pylorus-resecting pancreatoduodenectomy.保留幽门与切除幽门胰十二指肠切除术后胃排空延迟的荟萃分析。
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Pylorus-preserving pancreaticoduodenectomy (pp Whipple) versus pancreaticoduodenectomy (classic Whipple) for surgical treatment of periampullary and pancreatic carcinoma.
保留幽门的胰十二指肠切除术（pp Whipple）与胰十二指肠切除术（经典Whipple）用于壶腹周围癌和胰腺癌的手术治疗
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Effect of Antecolic versus Retrocolic Gastroenteric Reconstruction after Pancreaticoduodenectomy on Delayed Gastric Emptying: A Meta-Analysis of Six Randomized Controlled Trials.胰十二指肠切除术后结肠前与结肠后胃肠重建对胃排空延迟的影响：六项随机对照试验的荟萃分析
Dig Surg. 2016;33(1):15-25. doi: 10.1159/000441480. Epub 2015 Nov 14.
5
A Long Gastrojejunostomy Is Associated With Decreased Incidence and Severity of Delayed Gastric Emptying After Pancreaticoduodenectomy.长袢胃空肠吻合术与胰十二指肠切除术后胃排空延迟的发生率降低及严重程度减轻相关。
Pancreas. 2015 Nov;44(8):1273-9. doi: 10.1097/MPA.0000000000000415.
6
Delayed Gastric Emptying After Pancreaticoduodenectomy: an Analysis of Risk Factors and Cost.胰十二指肠切除术后胃排空延迟：危险因素及成本分析
J Gastrointest Surg. 2015 Sep;19(9):1572-80. doi: 10.1007/s11605-015-2865-5. Epub 2015 Jul 14.
7
Pancreatogastrostomy Versus Pancreatojejunostomy for RECOnstruction After PANCreatoduodenectomy (RECOPANC, DRKS 00000767): Perioperative and Long-term Results of a Multicenter Randomized Controlled Trial.胰十二指肠切除术后重建的胰胃吻合术与胰空肠吻合术比较（RECOPANC，DRKS 00000767）：一项多中心随机对照试验的围手术期和长期结果
Ann Surg. 2016 Mar;263(3):440-9. doi: 10.1097/SLA.0000000000001240.
8
Braun enteroenterostomy reduces delayed gastric emptying after pylorus-preserving pancreatoduodenectomy: a retrospective review.布劳恩肠肠吻合术可减少保留幽门的胰十二指肠切除术后的胃排空延迟：一项回顾性研究。
Am J Surg. 2015 Feb;209(2):369-77. doi: 10.1016/j.amjsurg.2014.05.007. Epub 2014 Jul 11.
9
Portal vein resection in borderline resectable pancreatic cancer: a United Kingdom multicenter study.门静脉切除在边界可切除胰腺癌中的应用：英国多中心研究。
J Am Coll Surg. 2014 Mar;218(3):401-11. doi: 10.1016/j.jamcollsurg.2013.11.017. Epub 2013 Nov 27.
10
Factors influencing clinically significant delayed gastric emptying after subtotal stomach-preserving pancreatoduodenectomy.影响保留胃大部的胰十二指肠切除术后临床显著胃排空延迟的因素。
World J Surg. 2014 Apr;38(4):968-75. doi: 10.1007/s00268-013-2288-y.