Evidence map›Paper›PMID 35709689›Full record

ArticleEuropean surgical research. Europaische chirurgische Forschung. Recherches chirurgicales europeennes2023

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

Hiroya Iida, Hiromitsu Maehira, Takeru Maekawa, Haruki Mori, Nobuhito Nitta, Katsushi Takebayashi, Masatsugu Kojima, Mika Kurihara, Shigeki Bamba, Masaya Sasaki and 1 more

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Article in European surgical research. Europaische chirurgische Forschung. Recherches chirurgicales europeennes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Hiroya IidaDepartment of Surgery, Shiga University of Medical Science, Otsu, Japan.
Hiromitsu MaehiraDepartment of Surgery, Shiga University of Medical Science, Otsu, Japan.
Takeru MaekawaDepartment of Surgery, Shiga University of Medical Science, Otsu, Japan.
Haruki MoriDepartment of Surgery, Shiga University of Medical Science, Otsu, Japan.
Nobuhito NittaDepartment of Surgery, Shiga University of Medical Science, Otsu, Japan.
Katsushi TakebayashiDepartment of Surgery, Shiga University of Medical Science, Otsu, Japan.
Masatsugu KojimaDepartment of Surgery, Shiga University of Medical Science, Otsu, Japan.
Mika KuriharaDivision of Clinical Nutrition, Shiga University of Medical Science Hospital, Otsu, Japan.
Shigeki BambaDivision of Clinical Nutrition, Shiga University of Medical Science Hospital, Otsu, Japan.
Masaya SasakiDivision of Clinical Nutrition, Shiga University of Medical Science Hospital, Otsu, Japan.
Masaji TaniDepartment of Surgery, Shiga University of Medical Science, Otsu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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

methodsWe 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.

resultsThere 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.

Indexed as

Gastric BypassGastric EmptyingHumansPancreatectomyPancreaticoduodenectomyPostoperative ComplicationsRetrospective StudiesRisk FactorsDelayed gastric emptyingGastrojejunostomyPancreaticoduodenectomy

Identifiers

PMID35709689
PMCPMC10332481

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