Analysis of risk factors for delayed gastric emptying after distal pancreatectomy
Objective To investigate the risk factors for delayed gastric empting(DGE)after distal pancreatectomy(DP).Methods The clinical data of 75 patients who underwent DP in hepatobiliary surgery department of Affiliated Hospital of Yangzhou University from June 2015 to June 2023 were retrospectively analyzed.Univariate and multivariate Logistic regression models were used to analyze the independent risk factors of DGE.Results Of the 75 patients,16 cases(21.3％)had postoperative DGE,including 12 cases(16.00％)in grade A,3 cases(4.00％)in grade B,and 1 case(1.33％)in grade C.Univariate analysis results showed that there were statistically significant differences in proportions of postoperative abdominal bleeding,postoperative grade B/C pancreatic fistula,postoperative abdominal infection and postoperative chylous fistula in the DGE group and the non-DGE group(P＜0.05).Multivariate Logistic regression analysis results showed that postoperative grade B/C pancreatic fistula was an independent risk factor for DGE after DP(P＜0.05).Conclusion Postoperative grade B/C pancreatic fistula is an independent risk factor for DGE after DP.Avoiding pancreatic fistula during perioperative period can help reduce the incidence of DGE.
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