Copyright
©The Author(s) 2023.
World J Gastrointest Surg. Sep 27, 2023; 15(9): 1941-1949
Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.1941
Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.1941
Table 1 Univariate analysis of delayed gastric emptying in 114 cases after pancreaticoduodenectomy
Clinical indexes | n | Postoperative delayed gastric emptying | χ2/t | P value | |
Yes | No | ||||
Sex | 0.002 | 0.965 | |||
Male | 66 | 19 | 47 | ||
Female | 48 | 14 | 34 | ||
Age (yr) | 62.00 ± 9.47 | 62.63 ± 9.72 | 0.316 | 0.752 | |
Preoperative systemic disease | 3.271 | 0.071 | |||
With | 44 | 17 | 27 | ||
Without | 70 | 16 | 54 | ||
Preoperative nutritional status | 0.729 | 0.393 | |||
Good | 92 | 25 | 67 | ||
Poor | 22 | 8 | 14 | ||
Pylorus preservation | 4.731 | 0.03 | |||
Yes | 51 | 20 | 31 | ||
No | 63 | 13 | 50 | ||
Lymph node dissection | 2.451 | 0.117 | |||
Yes | 58 | 13 | 45 | ||
No | 56 | 20 | 36 | ||
Operation time (min) | 216.54 ± 63.23 | 233.56 ± 66.35 | 1.259 | 0.211 | |
Gastrointestinal anastomosis mode | 4.731 | 0.03 | |||
Antecolic anastomosis | 63 | 13 | 50 | ||
Retrocolic anastomosis | 51 | 20 | 31 | ||
Intraoperative hemorrhage (mL) | 327.27 ± 185.86 | 367.28 ± 273.54 | 0.77 | 0.443 | |
Postoperative pancreatic fistula | 0.277 | 0.871 | |||
Without | 61 | 17 | 44 | ||
Mild | 41 | 13 | 28 | ||
Severe | 12 | 3 | 9 | ||
Postoperative abdominal complications | 8.551 | 0.003 | |||
With | 62 | 25 | 37 | ||
Without | 52 | 8 | 44 | ||
Early enteral nutrition | 0.215 | 0.643 | |||
With | 9 | 2 | 7 | ||
Without | 105 | 31 | 74 | ||
Hb on postoperative day 1 | 117.23 ± 16.21 | 115.45 ± 18.23 | 0.488 | 0.627 | |
Hb on postoperative day 4 | 113.12 ± 13.45 | 108.23 ± 14.32 | 1.682 | 0.095 | |
Hb on postoperative day 7 | 109.64 ± 14.42 | 109.87 ± 14.23 | 0.078 | 0.938 | |
ALB on postoperative day 1 | 30.93 ± 4.05 | 30.52 ± 3.73 | 0.519 | 0.605 | |
ALB on postoperative day 4 | 34.85 ± 4.01 | 32.20 ± 5.22 | 2.616 | 0.01 | |
ALB on postoperative day 7 | 34.52 ± 5.16 | 33.62 ± 4.27 | 0.959 | 0.339 |
Table 2 Observational indexes included in multivariate analysis (P < 0.10)
Clinical indexes | n | Postoperative delayed gastric emptying | χ2/t | P value | |
Yes | No | ||||
Preoperative systemic diseases | 3.271 | 0.071 | |||
With | 44 | 17 | 27 | ||
Without | 70 | 16 | 54 | ||
Pylorus preservation | 4.731 | 0.03 | |||
Yes | 51 | 20 | 31 | ||
No | 63 | 13 | 50 | ||
Gastrointestinal anastomosis mode | 4.731 | 0.03 | |||
Antecolic anastomosis | 63 | 13 | 50 | ||
Retrocolic anastomosis | 51 | 20 | 31 | ||
Postoperative abdominal complications | 8.551 | 0.003 | |||
With | 62 | 25 | 37 | ||
Without | 52 | 8 | 44 | ||
Hb on postoperative day 4 | 113.12 ± 13.45 | 109.43 ± 14.32 | 1.269 | 0.207 | |
ALB on postoperative day 4 | 34.85 ± 4.01 | 32.20 ± 5.07 | 2.616 | 0.01 |
Table 3 Multivariate analysis of delayed gastric emptying in 114 cases after pancreaticoduodenectomy
Related factors | Regression coefficients | OR | OR (95%CI) | P value |
Postoperative abdominal complications | 1.562 | 4.768 | 1.748-13.005 | 0.002 |
Preoperative systemic diseases | 0.923 | 2.516 | 1.004-6.304 | 0.049 |
ALB on postoperative day 4 | 0.178 | 1.195 | 1.062-1.344 | 0.003 |
- Citation: Xie FL, Ren LJ, Xu WD, Xu TL, Ge XQ, Li W, Ge XM, Zhou WK, Li K, Zhang YH, Wang Z. Preoperative and postoperative complications as risk factors for delayed gastric emptying following pancreaticoduodenectomy: A single-center retrospective study. World J Gastrointest Surg 2023; 15(9): 1941-1949
- URL: https://www.wjgnet.com/1948-9366/full/v15/i9/1941.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v15.i9.1941