ABSTRACT
Delayed gastric emptying(DGE)is a common complication after pancreatoduodenectomy. Due to its complex causes and difficul-ties in treatment,it has been a difficult problem in general surgery. By analyzing the improvement in the surgical procedure of pancreaticodu-odenectomy in recent years and the influence of the establishment of predictive scoring model on DGE,this article puts forward new direc-tions for the prevention and treatment of DGE. It is pointed out that effective preoperative assessment and reasonable selection of surgical pro-cedures may help to reduce the incidence rate of DGE after surgery.
ABSTRACT
Objective:To invest the risk factors associated with delayed hemorrhage after pancreaticoduodenectomy occurred.Methods:A retrospective analysis was performed from January 2012 to June 2015 Shengjing hospital 511 cases of patients who accepted pancreaticoduodenectomy.Results:The incidence of PD postoperative delayed hemorrhage was 8.81％ (45/511).Univariate analysis shows:Preoperative bilirubin levels,pancreatic fistula,biliary fistula,postoperative abdominal infection are all the meaningful related factors(P＜0.05).With the application of multivariate logistic regression analysis,pancreatic fistula (OR=2.158) and abdominal infection (OR=3.051) were independent risk factors for postoperative delayed hemorrhages (P＜0.05).Conclusion:Dealing with the postoperative complications of PD like pancreatic fistula,abdominal infection and others,early detection and rapid diagnosis and correct treatment can effectively reduce the incidence of delayed hemorrhage.