Delayed gastric emptying after gastric surgery

Delayed Gastric Emptying After Standard Pancreaticoduodenectomy Versus Pylorus-Preserving Pancreaticoduodenectomy: an Analysis of 200 Consecutive Patients

“…The wide range in the incidence of delayed gastric emptying after PD and PPPD, varying at 25-70%, seems related to the different criteria for gastric function set by the authors of different reports. [12][13][14][15][16][17]19,25 In the present series, the patients required longer nasogastric intubation after PPPD than after PD. Although these results suggest some form of early gastric stasis after PPPD, it did not result in an overall increase in the incidence of delayed gastric emptying.…”

“…3,4,[9][10][11] A less serious complication is delayed gastric emptying, which is reported to occur at 25-70% after pancreaticoduodenectomy, with an average of 30%. 4,[12][13][14][15][16][17][18][19] Although delayed gastric emptying is not associated with mortality, it can be a troublesome complication and can jeopardize nutritional status when patients do not receive enteral or parenteral nutrition. It also increases the postoperative hospital stay.…”

“…12,16,19 The variation in the incidence of partly delayed gastric emptying that is reported is probably due to the fact that no uniform definition exists. Some authors have defined delayed gastric emptying as the inability to tolerate a regular or normal diet by the fourteenth 4 or the tenth postoperative day [14][15][16] or the start of a liquid diet after Ն7 days. 13 Others have described delayed gastric emptying as gastric stasis requiring gastric suction for 7 days 18,19 or Ն10 days.…”

Preventing Delayed Gastric Emptying After Whipple's Procedure—Isolated Roux Loop Reconstruction With Pancreaticogastrostomy

“…As the mortality rate has fallen with the modern experience of high-volume centres, the most common postoperative complications for pancreatic head resection remain pancreatic fistula, infection and DGE. DGE is the leading cause of morbidity after pancreaticoduodenectomy, occurring in approximately one third of all patients [7][8][9][10][11][12]. The incidence of DGE was initially thought to be increased after pylorus preservation but is now recognized to be equal after classic or pylorus-preserving pancreaticoduodenectomy.…”

“…The most serious and potentially lethal complications are pancreatic leakage, gastrointestinal or intraabdominal haemorrhage and intraabdominal abscess. A less serious complication is delayed gastric emptying (DGE), which is reported to occur in 25-70 % of patients after pancreaticoduodenectomy [7][8][9][10][11][12]. DGE is not always associated with pancreatic anastomotic leak and is a frustrating complication for which the mechanism has not been fully understood.…”