Benefit of Roux-en-Y (R-Y) Reconstruction After Pancreaticoduodenectomy

Benefit of R-Y Reconstruction After Pancreaticoduodenectomy

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.

Inclusion Criteria:

• These patients were to undergo elective pancreatic head resection for the treatment of periampullary mass

Exclusion Criteria:

• A body weight loss greater than 10% during the six months prior to surgery
• The presence of distant metastases
• Seriously impaired function of vital organs due to respiratory, renal or heart disease