New Technique Reduces Delayed Gastric Emptying After Whipple Procedure
Author Information
Author(s): Wayne Michael G, Jorge Irving A, Cooperman Avram M
Primary Institution: Department of Pancreatic and Biliary Surgery of New York, Cabrini Medical Center, New York, NY, USA
Hypothesis
Can the undivided Roux-en-Y technique reduce the incidence of delayed gastric emptying after pancreaticoduodenectomy?
Conclusion
The undivided Roux-en-Y technique may decrease the incidence of delayed gastric emptying and eliminate bile reflux gastritis.
Supporting Evidence
- No instances of delayed gastric emptying occurred in patients who underwent the undivided Roux-en-Y technique.
- There was no operative mortality.
- The average postoperative hospital stay was 8.4 days.
- Patients were started on ice chips after 2 days and a regular diet by 8 to 10 days postoperatively.
Takeaway
Doctors tried a new way to connect the stomach and intestines after surgery, and it helped patients not have stomach problems afterward.
Methodology
Charts of 13 patients who underwent the undivided Roux-en-Y technique were reviewed and compared to a control group of 15 patients with standard reconstruction.
Limitations
The sample size is small, and further randomized control trials are recommended.
Participant Demographics
13 patients (5 women, 8 men; average age 60.9 years) underwent the new technique.
Digital Object Identifier (DOI)
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