Effect of the Gastrojejunostomy Position on the Postoperative Amount of Oral Intake in Pancreaticoduodenectomy.

IF 1.7 4区医学 Q2 SURGERY

European Surgical Research Pub Date : 2023-01-01 DOI:10.1159/000525551

Hiroya Iida, Hiromitsu Maehira, Takeru Maekawa, Haruki Mori, Nobuhito Nitta, Katsushi Takebayashi, Masatsugu Kojima, Mika Kurihara, Shigeki Bamba, Masaya Sasaki, Masaji Tani

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引用次数: 0

Abstract

Introduction: We investigated the effect of the gastrojejunostomy position on the postoperative oral intake in patients who have undergone pancreaticoduodenectomy (PD).

Methods: We investigated 119 patients who underwent PD between June 2013 and December 2019 and examined the effect of the horizontal and vertical distance rates of the gastrojejunostomy position on the postoperative oral intake. The patients were categorized as having poor or good oral intake based on whether their intake was up to half the required calorie intake.

Results: There were significant differences in the number of cases with grade B or C postoperative pancreatic fistula (good, 20.3% vs. poor, 60.0%; p < 0.001), horizontal distance rate (good, 0.57 vs. poor, 0.48; p = 0.02), and postoperative hospitalization period (good, 15 vs. poor, 35 days; p < 0.001). However, there was no significant difference in the vertical distance rate (good, 0.67 vs. poor, 0.71; p = 0.22). The horizontal distance rate was the independent risk factor for postoperative poor oral intake at 2-3 weeks (risk ratio, 3.69; 95% CI: 1.48-9.20).

Discussion: The oral intake was greater in patients whose gastrojejunostomy position in PD was farther from the median, suggesting the necessity of intraoperative placement of the gastrojejunostomy position as far from the median as possible.

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胃空肠造口位置对胰十二指肠切除术术后口服进食量的影响。

前言:我们研究了胃空肠造口位置对胰十二指肠切除术(PD)患者术后口服摄入量的影响。方法:对2013年6月至2019年12月期间接受PD治疗的119例患者进行调查，研究胃空肠造口位置水平和垂直距离率对术后口服摄入量的影响。根据患者的摄入量是否达到所需卡路里摄入量的一半，将患者分为良好或不良的口腔摄入量。结果:术后B级或C级胰瘘的病例数差异有统计学意义(好，20.3% vs差，60.0%;P < 0.001)，水平距离率(好，0.57比差，0.48;P = 0.02)，术后住院时间(好，15天vs差，35天;P < 0.001)。然而，两组的垂直距离率无显著差异(好，0.67 vs差，0.71;P = 0.22)。水平距离率是术后2-3周口腔摄入不良的独立危险因素(风险比，3.69;95% ci: 1.48-9.20)。讨论:PD患者胃空肠造口位置离正中位置越远，患者的口服摄入量越大，提示术中胃空肠造口位置放置越远离正中位置越有必要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Surgical Research 医学-外科

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： ''European Surgical Research'' features original clinical and experimental papers, condensed reviews of new knowledge relevant to surgical research, and short technical notes serving the information needs of investigators in various fields of operative medicine. Coverage includes surgery, surgical pathophysiology, drug usage, and new surgical techniques. Special consideration is given to information on the use of animal models, physiological and biological methods as well as biophysical measuring and recording systems. The journal is of particular value for workers interested in pathophysiologic concepts, new techniques and in how these can be introduced into clinical work or applied when critical decisions are made concerning the use of new procedures or drugs.