Impact of Braun anastomosis on reducing delayed gastric emptying following pancreaticoduodenectomy: a prospective, randomized controlled trial

Ho Kyoung Hwang, Sung Hwan Lee, Dai Hoon Han, Sung Hoon Choi, Chang Moo Kang, Woo Jung Lee

Research output: Contribution to journalArticle

5 Citations (Scopus)

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 languageEnglish
Pages (from-to)364-372
Number of pages9
JournalJournal of Hepato-Biliary-Pancreatic Sciences
Volume23
Issue number6
DOIs
Publication statusPublished - 2016 Jun 1

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Pancreaticoduodenectomy
Gastric Emptying
Randomized Controlled Trials
Pylorus
Pancreatic Fistula
Sex Characteristics
Length of Stay
Odds Ratio
Confidence Intervals
Incidence

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "Impact of Braun anastomosis on reducing delayed gastric emptying following pancreaticoduodenectomy: a prospective, randomized controlled trial",
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.",
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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 journalArticle

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T1 - Impact of Braun anastomosis on reducing delayed gastric emptying following pancreaticoduodenectomy

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AU - Hwang, Ho Kyoung

AU - Lee, Sung Hwan

AU - Han, Dai Hoon

AU - Choi, Sung Hoon

AU - Kang, Chang Moo

AU - Lee, Woo Jung

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