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Risk factors for delayed gastric emptying caused by anastomosis edema after subtotal gastrectomy for gastric cancer.
Hepatogastroenterology. 2014 Sep; 61(134):1794-800.H

Abstract

BACKGROUND/AIMS

Delayed gastric emptying (DGE) is one of the most troublesome complications after subtotal gastrectomy for gastric cancer. We evaluated operative and perioperative variables to assess for independent risk factors of DGE caused by anastomosis edema.

METHODOLOGY

The study retrospectively reviewed clinical data of 382 consecutive patients who underwent subtotal gastrectomy for gastric cancer between 2009 and 2011 at a single institution.

RESULTS

Delayed gastric emptying had occurred in twelve patients (3.1%). Univariate analysis revealed high body mass index (>25kg/m2), open gastrectomy, and Billroth II or Roux-en Y reconstructions to be significant factors for delayed gastric emptying. Multivariate analysis identified high body mass index and open gastrectomy as predictors of delayed gastric emptying.

CONCLUSIONS

To avoid delayed gastric emptying, surgeons should take care in creating the gastrointestinal anastomosis, particularly in patients with high BMI or in cases of open gastrectomy.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25436381

Citation

Paik, Hyun-June, et al. "Risk Factors for Delayed Gastric Emptying Caused By Anastomosis Edema After Subtotal Gastrectomy for Gastric Cancer." Hepato-gastroenterology, vol. 61, no. 134, 2014, pp. 1794-800.
Paik HJ, Choi CI, Kim DH, et al. Risk factors for delayed gastric emptying caused by anastomosis edema after subtotal gastrectomy for gastric cancer. Hepatogastroenterology. 2014;61(134):1794-800.
Paik, H. J., Choi, C. I., Kim, D. H., Jeon, T. Y., Kim, D. H., Son, G. M., Lee, S. H., & Hwang, S. H. (2014). Risk factors for delayed gastric emptying caused by anastomosis edema after subtotal gastrectomy for gastric cancer. Hepato-gastroenterology, 61(134), 1794-800.
Paik HJ, et al. Risk Factors for Delayed Gastric Emptying Caused By Anastomosis Edema After Subtotal Gastrectomy for Gastric Cancer. Hepatogastroenterology. 2014;61(134):1794-800. PubMed PMID: 25436381.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk factors for delayed gastric emptying caused by anastomosis edema after subtotal gastrectomy for gastric cancer. AU - Paik,Hyun-June, AU - Choi,Chang-In, AU - Kim,Dae-Hwan, AU - Jeon,Tae-Yong, AU - Kim,Dong-Heon, AU - Son,Gyung-Mo, AU - Lee,Si-Hak, AU - Hwang,Sun-Hwi, PY - 2014/12/2/entrez PY - 2014/12/2/pubmed PY - 2014/12/30/medline SP - 1794 EP - 800 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 61 IS - 134 N2 - BACKGROUND/AIMS: Delayed gastric emptying (DGE) is one of the most troublesome complications after subtotal gastrectomy for gastric cancer. We evaluated operative and perioperative variables to assess for independent risk factors of DGE caused by anastomosis edema. METHODOLOGY: The study retrospectively reviewed clinical data of 382 consecutive patients who underwent subtotal gastrectomy for gastric cancer between 2009 and 2011 at a single institution. RESULTS: Delayed gastric emptying had occurred in twelve patients (3.1%). Univariate analysis revealed high body mass index (>25kg/m2), open gastrectomy, and Billroth II or Roux-en Y reconstructions to be significant factors for delayed gastric emptying. Multivariate analysis identified high body mass index and open gastrectomy as predictors of delayed gastric emptying. CONCLUSIONS: To avoid delayed gastric emptying, surgeons should take care in creating the gastrointestinal anastomosis, particularly in patients with high BMI or in cases of open gastrectomy. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/25436381/Risk_factors_for_delayed_gastric_emptying_caused_by_anastomosis_edema_after_subtotal_gastrectomy_for_gastric_cancer_ L2 - http://www.diseaseinfosearch.org/result/2473 DB - PRIME DP - Unbound Medicine ER -