The Journal of surgical research
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Randomized Controlled Trial Comparative Study
Delayed gastric emptying after pancreatoduodenectomy.
Antecolic reconstruction after pylorus-preserving pancreatoduodenectomy (PPPD) has been reported to decrease the incidence of delayed gastric emptying (DGE), which is one of the main postoperative complications. Subtotal stomach-preserving PD (SSPPD), in which duodenum and pylorus ring were removed, was introduced for the purpose of decreasing the incidence of DGE. This prospective randomized control study was performed to assess whether antecolic reconstruction decreases the incidence of DGE compared with retrocolic reconstruction after SSPPD. ⋯ Antecolic reconstruction, and not retrocolic reconstruction, decreases DGE incidence after SSPPD.