%0 Journal Article
%T Antecolic gastrointestinal reconstruction with pylorus dilatation. Does it improve delayed gastric emptying after pylorus-preserving pancreaticoduodenectomy?
%A Manes K
%A Lytras D
%A Avgerinos C
%A Delis S
%A Dervenis C
%J HPB (Oxford)
%V 10
%N 6
%D 2008
%M 19088935
%F 3.842
%R 10.1080/13651820802286928
%X <B>OBJECTIVE: </B>The aim of our study focuses upon prevention of delayed gastric emptying (DGE) after pancreaticoduodenectomy using a alternative reconstruction procedure.<BR><B>METHODS: </B>Forty consecutive patients underwent a typical pylorus-preserving pancreaticoduodenectomy (PPPD) with antecolic reconstruction in a two-year period (January 2002 until January 2004), while a similar group of 40 consecutive patients underwent PPPD with application of pyloric dilatation between January 2004 and January 2006. Early and late complications were compared between the two groups.<BR><B>RESULTS: </B>DGE occurred significantly more often in the group of patients treated by the classical PPPD technique (nine patients -22%) compared with those operated on with the addition of pyloric dilatation technique (two patients -5%) (p<0.05). The incidence of other complications did not differ significantly between the two groups.<BR><B>CONCLUSIONS: </B>The application of dilatation may decrease the incidence of DGE after PPPD and facilitates earlier hospital discharge.