Study of risk factors for delayed gastric emptying after partial pancretoduodenectomy.

Humans Aged Middle Aged Pancreatic Fistula / etiology Gastroparesis / epidemiology Retrospective Studies Postoperative Complications / epidemiology Risk Factors
Aged Complicaciones postoperatorias Duodenopancreatectomía Edad avanzada Factores de riesgo Gastroparesis Pancreatoduodenectomy Postoperative complications Risk factors Vaciamiento gástrico lento

Journal

Cirugia espanola
ISSN: 2173-5077
Titre abrégé: Cir Esp (Engl Ed)
Pays: Spain
ID NLM: 101771152

Informations de publication

Date de publication:
Oct 2023
Historique:
received: 27 03 2022
revised: 21 09 2022
accepted: 30 10 2022
medline: 23 10 2023
pubmed: 31 1 2023
entrez: 30 1 2023
Statut: ppublish

Résumé

Delayed gastric emptying is one of the most frequent complications after pancreatoduodenectomy. We performed an analysis of risk factors for delayed gastric emptying on a prospective database of 390 patients operated on between 2013 and 2021. A comparative retrospective study was carried out between patients with and without delayed gastric emptying and subsequently a study of risk factors for delayed gastric emptying using univariate and multivariate logistic regression models. The incidence of delayed gastric emptying in the overall series was 28%. The morbidity of the group was 63%, and postoperative mortality was 3.1%. Focusing on delayed gastric emptying, the median age (73 years vs 68 years, P < 0.001) and preoperative creatinine (75 vs 65.5, P < 0.001) were higher in the group with this complication. The study of risk factors showed that age over 60 years (P = 0.002) and pancreatic fistula (P < 0.001) were risk factors for delayed gastric emptying. The presence of pancreatic fistula is confirmed as a risk factor for slow gastric emptying after pancreaticoduodenectomy. In addition, age over 60 years is shown to be a risk factor for slow gastric emptying.

Identifiants

DOI: 10.1016/j.cireng.2023.01.003 PMID: 36716958
pubmed: 36716958
pii: S2173-5077(23)00015-7
doi: 10.1016/j.cireng.2023.01.003
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

657-664

Informations de copyright

Copyright © 2023. Published by Elsevier España, S.L.U.

Auteurs

S Martín (S)

General and Digestive Surgery Service, Viladecans Hospital, Viladecans, Spain.

Ll Secanella (L)

Department of Hepatobiliary and Pancreatic Surgery, Bellvitge University Hospital, Research Group of Hepato-biliary and Pancreatic Diseases, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, University of Barcelona L'Hospitalet de Llobregat, Barcelona, Spain.

M Sorribas (M)

Department of Hepatobiliary and Pancreatic Surgery, Bellvitge University Hospital, Research Group of Hepato-biliary and Pancreatic Diseases, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, University of Barcelona L'Hospitalet de Llobregat, Barcelona, Spain.

N Peláez (N)

Department of Hepatobiliary and Pancreatic Surgery, Bellvitge University Hospital, Research Group of Hepato-biliary and Pancreatic Diseases, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, University of Barcelona L'Hospitalet de Llobregat, Barcelona, Spain.

S Salord (S)

Departament de Ciències Clíniques, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), Barcelona, Spain; Department of Digestive Diseases Unit. Bellvitge University Hospital, Research Group of Hepato-biliary and Pancreatic Diseases, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, University of Barcelona L'Hospitalet de Llobregat, Barcelona, Spain.

R Lopez-Urdiales (R)

Department of Endocrinology and Nutrition, Bellvitge University Hospital, Barcelona, Spain.

J Fabregat (J)

Department of Hepatobiliary and Pancreatic Surgery, Bellvitge University Hospital, Research Group of Hepato-biliary and Pancreatic Diseases, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, University of Barcelona L'Hospitalet de Llobregat, Barcelona, Spain; Departament de Ciències Clíniques, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), Barcelona, Spain.

J Busquets (J)

Department of Hepatobiliary and Pancreatic Surgery, Bellvitge University Hospital, Research Group of Hepato-biliary and Pancreatic Diseases, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, University of Barcelona L'Hospitalet de Llobregat, Barcelona, Spain; Departament de Ciències Clíniques, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), Barcelona, Spain. Electronic address: jbusquets@bellvitgehospital.cat.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Study of risk factors for delayed gastric...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Study of risk factors for delayed gastric...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Study of risk factors for delayed gastric...
questionsmedicales.fr › États, signes et symptômes pathologiques › États anatomopathologiques › Fistule › Fistule digestive › Fistule pancréatique › Study of risk factors for delayed gastric...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Paralysie › Gastroparésie › Study of risk factors for delayed gastric...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Study of risk factors for delayed gastric...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Complications postopératoires › Study of risk factors for delayed gastric...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Facteurs de risque › Study of risk factors for delayed gastric...