Braun enteroenterostomy reduces delayed gastric emptying after pylorus-preserving pancreatoduodenectomy: a retrospective review.

Abstract:

BACKGROUND:Several recent studies have suggested that Braun enteroenterostomy (BEE) during conventional pancreatoduodenectomy might decrease delayed gastric emptying (DGE). However, the advantages and disadvantages of performing BEE during pylorus-preserving pancreatoduodenectomy (PPPD) remain controversial. METHODS:The medical records of 185 patients who underwent PPPD either with or without BEE between January 2008 and June 2013 were retrospectively reviewed, and the postoperative course of the 2 groups was compared. RESULTS:Ninety-eight patients underwent PPPD with BEE and 87 without BEE. DGE occurred in 4% of patients with BEE and in 21% of those without BEE (P < .01). The addition of BEE did not affect postoperative complications other than DGE. By multivariate analysis, the omission of BEE was the only independent factor associated with DGE (odds ratio 5.04, 95% confidence interval: 1.59 to 19.66; P < .01). CONCLUSIONS:BEE during PPPD reduced the incidence of DGE.

journal_name

Am J Surg

authors

Watanabe Y,Ohtsuka T,Kimura H,Matsunaga T,Tamura K,Ideno N,Aso T,Miyasaka Y,Ueda J,Takahata S,Tanaka M

doi

10.1016/j.amjsurg.2014.05.007

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

369-77

issue

2

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(14)00306-7

journal_volume

209

pub_type

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