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Delayed gastric emptying after pancreaticoduodenectomy in diabetes mellitus
Author(s) -
Oida Takatsugu,
Mimatsu Kenji,
Kano Hisao,
Kawasaki Atsushi,
Kuboi Youichi,
Fukino Nobutada,
Kida Kazutoshi,
Amano Sadao
Publication year - 2013
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2012.06242.x
Subject(s) - medicine , gastric emptying , incidence (geometry) , pancreaticoduodenectomy , gastroenterology , nausea , diabetes mellitus , vomiting , gastroparesis , stomach , pancreas , endocrinology , physics , optics
Delayed gastric emptying ( DGE ) is one of the most troublesome complications of pancreaticoduodenectomy ( PD ). Diabetes mellitus ( DM ) is one of the risk factors for pancreatic cancer. Moreover, several studies have shown that diabetic patients tend to have a high incidence of upper gastrointestinal symptoms such as nausea, vomiting and DGE . Here, we compared the influence of DM on the incidence of DGE after PD . Methods We retrospectively analysed 67 cases of PD with pancreaticogastrostomy. These patients were categorized into the following two groups: the DM group included patients with DM , and the NDM group included patients without DM . The incidence of DGE was determined and compared between the two groups. Results In the DM group, 76.5%, 5.9% and 17.6% of the subjects developed classes A, B and C DGE , respectively; the corresponding values in the NDM group were 58%, 22%, and 20%. The incidence of DGE did not differ between the two groups ( P < 0.2771). Conclusions DM does not accelerate DGE in patients who have undergone PD . Preoperative DM does not appear to play a key role in post‐operative DGE after PD .