Abstract
Background: The present study investigates the clinical impact of Braun anastomosis on delayed gastric emptying (DGE) after pylorus-preserving pancreaticoduodenectomy (PPPD). Methods: From February 2013 to June 2014, 60 patients were recruited for this randomized controlled trial. The incidence of DGE and its risk factors were analyzed according to whether or not Braun anastomosis was used after PPPD. Results: Thirty patients were respectively enrolled in No-Braun group and Braun group. A comparative analysis between the two groups showed no differences in sex, diagnosis, operation time, hospital stay, or postoperative complications, including pancreatic fistula. Overall DGE developed in eight patients (26.7%) in the Braun group and in 14 patients (46.7%) in the No-Braun group (P = 0.108). However, clinically relevant DGE (grades B and C) was marginally more frequent in the No-Braun group (23.3% vs. 3.3%, P = 0.052). In a multivariable analysis, No-Braun anastomosis was an independent risk factor for developing clinically relevant DGE (odds ratio = 16.489; 95% confidence interval: 1.287–211.195; P = 0.031). Conclusion: The overall DGE occurrence was not different between the two groups. However, No-Braun anastomosis was an independent risk factor for developing clinically relevant DGE.
| Original language | English |
|---|---|
| Pages (from-to) | 364-372 |
| Number of pages | 9 |
| Journal | Journal of Hepato-Biliary-Pancreatic Sciences |
| Volume | 23 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2016 Jun 1 |
Fingerprint
All Science Journal Classification (ASJC) codes
- Medicine(all)
Cite this
}
Impact of Braun anastomosis on reducing delayed gastric emptying following pancreaticoduodenectomy : a prospective, randomized controlled trial. / Hwang, Ho Kyoung; Lee, Sung Hwan; Han, Dai Hoon; Choi, Sung Hoon; Kang, Chang Moo; Lee, Woo Jung.
In: Journal of Hepato-Biliary-Pancreatic Sciences, Vol. 23, No. 6, 01.06.2016, p. 364-372.Research output: Contribution to journal › Article
TY - JOUR
T1 - Impact of Braun anastomosis on reducing delayed gastric emptying following pancreaticoduodenectomy
T2 - a prospective, randomized controlled trial
AU - Hwang, Ho Kyoung
AU - Lee, Sung Hwan
AU - Han, Dai Hoon
AU - Choi, Sung Hoon
AU - Kang, Chang Moo
AU - Lee, Woo Jung
PY - 2016/6/1
Y1 - 2016/6/1
N2 - Background: The present study investigates the clinical impact of Braun anastomosis on delayed gastric emptying (DGE) after pylorus-preserving pancreaticoduodenectomy (PPPD). Methods: From February 2013 to June 2014, 60 patients were recruited for this randomized controlled trial. The incidence of DGE and its risk factors were analyzed according to whether or not Braun anastomosis was used after PPPD. Results: Thirty patients were respectively enrolled in No-Braun group and Braun group. A comparative analysis between the two groups showed no differences in sex, diagnosis, operation time, hospital stay, or postoperative complications, including pancreatic fistula. Overall DGE developed in eight patients (26.7%) in the Braun group and in 14 patients (46.7%) in the No-Braun group (P = 0.108). However, clinically relevant DGE (grades B and C) was marginally more frequent in the No-Braun group (23.3% vs. 3.3%, P = 0.052). In a multivariable analysis, No-Braun anastomosis was an independent risk factor for developing clinically relevant DGE (odds ratio = 16.489; 95% confidence interval: 1.287–211.195; P = 0.031). Conclusion: The overall DGE occurrence was not different between the two groups. However, No-Braun anastomosis was an independent risk factor for developing clinically relevant DGE.
AB - Background: The present study investigates the clinical impact of Braun anastomosis on delayed gastric emptying (DGE) after pylorus-preserving pancreaticoduodenectomy (PPPD). Methods: From February 2013 to June 2014, 60 patients were recruited for this randomized controlled trial. The incidence of DGE and its risk factors were analyzed according to whether or not Braun anastomosis was used after PPPD. Results: Thirty patients were respectively enrolled in No-Braun group and Braun group. A comparative analysis between the two groups showed no differences in sex, diagnosis, operation time, hospital stay, or postoperative complications, including pancreatic fistula. Overall DGE developed in eight patients (26.7%) in the Braun group and in 14 patients (46.7%) in the No-Braun group (P = 0.108). However, clinically relevant DGE (grades B and C) was marginally more frequent in the No-Braun group (23.3% vs. 3.3%, P = 0.052). In a multivariable analysis, No-Braun anastomosis was an independent risk factor for developing clinically relevant DGE (odds ratio = 16.489; 95% confidence interval: 1.287–211.195; P = 0.031). Conclusion: The overall DGE occurrence was not different between the two groups. However, No-Braun anastomosis was an independent risk factor for developing clinically relevant DGE.
UR - http://www.scopus.com/inward/record.url?scp=84975297561&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84975297561&partnerID=8YFLogxK
U2 - 10.1002/jhbp.349
DO - 10.1002/jhbp.349
M3 - Article
C2 - 27038406
AN - SCOPUS:84975297561
VL - 23
SP - 364
EP - 372
JO - Journal of Hepato-Biliary-Pancreatic Sciences
JF - Journal of Hepato-Biliary-Pancreatic Sciences
SN - 1868-6974
IS - 6
ER -