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One of the most common complications of pancreaticoduodenectomy (PD) is delayed gastric emptying (DGE), otherwise known as "gastroparesis," which is not fatal but results in prolonged hospital stay and increased hospital costs. Delayed gastric emptying is defined as nasogastric decompression after postoperative day (POD) 10 or a failure to tolerate a regular diet after POD 14. The incidence of DGE has been reported to range from 5% to 72%.
We hypothesized that the hand-sewn, two-layered, or continuous suture, could induce anastomotic edema to indeed the afferent peristalsis, which is one of the causes of DGE.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| R-Y reconstruction | Experimental | the reconstruction was performed by R-Y anastomosis |
|
| conventional reconstruction | No Intervention | the anastomosis was performed by B-II |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| R-Y reconstruction | Procedure | The reconstruction was performed by R-Y anastomosis. |
|
| Measure | Description | Time Frame |
|---|---|---|
| the incidence of DGE | 3-6 months |
| Measure | Description | Time Frame |
|---|---|---|
| the incidence of other complication associated with reconstruction | 3-6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Takehiro Okabayashi, MD, PhD | Contact | 81-88-880-2370 | tokabaya@kochi-u.ac.jp | |
| Kazuhiro Hanazaki, Prof | Contact | 81-88-880-2370 | im31@kochi-u.ac.jp |
| Name | Affiliation | Role |
|---|---|---|
| Kazuhiro Hanazaki, Prof | Kochi University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kochi Medical School | Recruiting | Nankoku | Kochi | 783-8505 | Japan |
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| ID | Term |
|---|---|
| D010190 | Pancreatic Neoplasms |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
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| D004066 |
| Digestive System Diseases |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |