[Delayed gastric emptying as a frequent complication of pylorus-preserving pancreatoduodenectomy].

The most common complication of the pylorus-preserving pancreatoduodenectomy is delay in gastric emptying. Authors present on 18 pylorus-preserving resection performed in the County Hospital of Gyór and Nyíregyháza between 90-92. Delayed gastric emptying (DGE) developed altogether in 7 patients, median length of prolongation of gastric suction was 13.6 days. None of patients had reoperation. Comparing the two groups according to the type of duodeno-jejunostomy, the complication was higher after end to side anastomosis. Authors review the literature and comparing to their own results they study the mechanism, the possible causes and the therapy of DGE. They emphasize that in can be managed conservatively with patience.