| Predictive factors for delayed gastric emptying after distal gastrectomy with Roux-en-Y reconstruction |
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| Citation of this paper:BAI Bin△, CAI Hui△, NIE Ming-ming, MA Li-ye, YIN Kai*.Predictive factors for delayed gastric emptying after distal gastrectomy with Roux-en-Y reconstruction[J].Chinese Journal of Clinical Medicine,2019,26(2):177-180 |
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| Abstract:Objective：To evaluate the risk factors of delayed gastric emptying (DGE) after distal gastrectomy with Roux-en-Y reconstruction.
Methods：Clinicopathological data of 256 patients admitted at Changhai Hospital and received distal gastrectomy with Roux-en-Y reconstruction from January 2013 to December 2018 were retrospectively analyzed. The statistical analysis were conducted to evaluate gender, age, body mass index (BMI), personal history, family history, clinical symptoms, tumor location, histologic differentiation degree, TNM stages, and surgical approach.
Results：DGE occurred in 28 of the 256 patients. The DGE incidence in patients with diabetes mellitus was higher than patients without diabetes mellitus (P<0.05). The DGE incidence in patients with tumor located in the lower third of the stomach was higher than patients with tumor located in the middle part of the stomach (P<0.05). The DGE incidence in clinical Ⅲ＋Ⅳ stage patients was higher than clinical Ⅰ＋Ⅱ stage patients (P<0.05). There were no correlations of gender, age, smoking history, drinking history, cardiopulmonary diseases, BMI, TNM stages, lymph node metastasis, surgical approach, operation time, blood loss and transfusion in operation with DGE development.
Conclusions：Combined with diabetes mellitus, clinical Ⅲ＋Ⅳ stage, and tumor located in the lower third of the stomach may be risk factors of DGE in distal gastrectomy patients after R-Y reconstruction. |
| keywords:gastric carcinoma delayed gastric emptying gastrectomy |
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