Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 17 iunie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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RISK FACTORS IN DEVELOPING DELAYED GASTRIC EMPTYING AFTER PANCREATO-DUODENECTOMY
Dana Iancu, A. Bartoș, L. Mocanu, Teodora Mocanu, Raluca Bodea,
F. Zaharie, Andra Andreescu, C. Iancu
Surgical Clinic III, Cluj-Napoca
University of Medicine and Pharmacy, Cluj-Napoca, Romania
Jurnalul de chirurgie 2011; 7 (1): 33-37
Full text:
Format PDF (Română/Romanian)

Abstract:

Introduction: Even now, the surgery for the pancreatic cancer is a very debatable subject because of it’s high morbidity. Among the postoperatory complications, with a high impact on the patient, is the delayed gastric emptying. Material and methods: The aim of this study is to find the potential risk factors in the delayed gastric emptying after pancreato-duodenectomy. This is a prospective study from 2008 till 2010, done in Surgery Clinic no III of Cluj-Napoca. 128 patients with periampular cancer on which pancreato-duodenectomy was performed were included in the study. Results: The rate of having delayed gastric emptying after pancreato-duodenectomy was 18%. All the patients with this complication had many postoperatory complications (p=0,00). 19% of the patients with anemia developed delayed gastric emptying. The percent of fat people that developed delayed gastric emptying was 35% vs 12% which had normal weight; these data were statistically valid (p=0,007). The patients with internal bleeding developed delayed gastric emptying in 22% of the cases instead of 9% in the ones that did not have internal bleeding. DZ, a longer intraoperative time, a soft pancreatic parenchyma will not raise the probability of developing delayed gastric emptying. Conclusions: The delayed gastric emptying is the most frequent complication  following duodenopancreatic surgery. The risc factors that are involved in it’s appearance are: obese patients and the presence of multiple postoperatory complications.

KEY WORDS: PANCREATIC CANCER, SURGICAL INTERVENTION, DELAYED GASTRIC EMPTYING, PREDICTIVE FACTORS

Correspondence to: Dana Iancu, MD, PhD, Surgical Clinic III, Cluj-Napoca, Cluj-Napoca, Str. Iaşilor nr. 16, +40264134955



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.