Delayed Gastric Emptying after Pancreatoduodenectomy
Authors:
- 1 January 2003
- journal article
- other
- Published by Taylor & Francis in Acta Chirurgica Belgica
- Vol. 103 (3) , 338-339
Abstract
With pylorus-preserving pancreatoduodenectomy (PPPD) the goal is to reduce long-term morbidities such as gastric dumping, marginal ulceration or bile-reflux gastritis. Compared with the classical Whipple procedure, PPPD is affected by an equal postoperative morbidity but is known to induce delayed gastric emptying (DGE). It is difficult to evaluate the true incidence of DGE after PPPD (from 5 to 50% according to the literature). Early and low doses of erythromycin in the postoperative period could prevent the onset of DGE and the administration of cisapride 15 mg/day improves gastric emptying up to 6 months after PPPD.Keywords
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