Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11565
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dc.contributor.authorNikfarjam, Mehrdaden
dc.contributor.authorHouli, Nezoren
dc.contributor.authorTufail, Farrukhen
dc.contributor.authorWeinberg, Laurenceen
dc.contributor.authorMuralidharan, Vijayaragavanen
dc.contributor.authorChristophi, Christopheren
dc.date.accessioned2015-05-16T01:10:46Z
dc.date.available2015-05-16T01:10:46Z
dc.date.issued2012-09-10en
dc.identifier.citationJop : Journal of the Pancreas 2012; 13(5): 488-96en
dc.identifier.govdoc22964955en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/11565en
dc.description.abstractDelayed gastric emptying is a major cause of morbidity following pancreaticoduodenectomy.The impact of a Braun enteroenterostomy on delayed gastric emptying, used in reconstruction following classic pancreaticoduodenectomy, was assessed.Forty-four consecutive patients undergoing non-pylorus preserving pancreaticoduodenectomy from 2009 to 2011 by a single surgeon were included in this study.The first 20 patients had a standard antecolic gastroenterostomy and the subsequent 24 had the addition of a Braun enteroenterostomy.Patient characteristics, the extent of surgery, surgical findings and tumor characteristics were similar between the two groups. The delayed gastric emptying rate in the Braun enteroenterostomy (1/24, 4.2%) was significantly lower (P=0.008) than the standard reconstruction group (7/20, 35.0%). In the standard group, 6 of 7 cases (85.7%) of delayed gastric emptying were class C in nature. After exclusion of 8 total pancreatectomy patients, the pancreatic fistula rate in the Braun enteroenterostomy group (4/19, 21.1%) was similar (0.706) to the standard reconstruction group (5/17, 29.4%) as was the median length of hospital stay (10 days vs. 15 days; P=0.291). Braun enteroenterostomy technique was the only significant independent factor associated with reduced delayed gastric emptying with an odds ratio of 0.08 (95% confidence interval: 0.01-0.73; P=0.025).The use of Braun enteroenterostomy following non-pylorus preserving pancreaticoduodenectomy appears to result in a significant reduction in delayed gastric emptying.en
dc.language.isoenen
dc.subject.otherAbdominal Pain.etiologyen
dc.subject.otherAgeden
dc.subject.otherAged, 80 and overen
dc.subject.otherFemaleen
dc.subject.otherGastric Emptyingen
dc.subject.otherGastroenterostomy.adverse effects.methodsen
dc.subject.otherGastroparesis.etiology.physiopathology.surgeryen
dc.subject.otherHumansen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherMultivariate Analysisen
dc.subject.otherPancreatic Fistula.etiologyen
dc.subject.otherPancreatic Neoplasms.surgeryen
dc.subject.otherPancreaticoduodenectomy.adverse effectsen
dc.subject.otherPostoperative Complications.etiologyen
dc.subject.otherProspective Studiesen
dc.subject.otherPylorus.surgeryen
dc.subject.otherReconstructive Surgical Procedures.adverse effects.methodsen
dc.subject.otherTreatment Outcomeen
dc.titleReduction in delayed gastric emptying following non-pylorus preserving pancreaticoduodenectomy by addition of a Braun enteroenterostomy.en
dc.typeJournal Articleen
dc.identifier.journaltitleJOP : Journal of the pancreasen
dc.identifier.affiliationDepartment of Surgery, University of Melbourne, Austin Health, Heidelberg, Victoria, Australiaen
dc.description.pages488-96en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/22964955en
dc.type.austinJournal Articleen
local.name.researcherChristophi, Christopher
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptSurgery (University of Melbourne)-
crisitem.author.deptAnaesthesia-
crisitem.author.deptSurgery (University of Melbourne)-
crisitem.author.deptHepatopancreatobiliary Surgery-
crisitem.author.deptSurgery-
crisitem.author.deptSurgery-
crisitem.author.deptHepatopancreatobiliary Surgery-
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