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[Risk factors for postoperative gastroparesis syndrome after pancreaticoduodenectomy with binary logistic regression]
Wei-bin Wang1, Yu-pei Zhao, Quan Liao
1Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China.
Objective:
To study the risk factors of postoperative gastroparesis syndrome after pancreaticoduodenectomy.
Method:
Clinical data of 166 patients who underwent pancreaticoduodenectomy from January 2002 to April 2006 were analyzed with binary logistic regression in order to explore the risk factors of postoperative gastroparesis syndrome after pancreaticoduodenectomy.
Results:
There were 60 patients occurred postoperative gastroparesis syndrome after pancreaticoduodenectomy. Among 15 factors, 6 factors were proved to be the risk factors of postoperative gastroparesis syndrome after pancreaticoduodenectomy by unitary anylasis; 7 factors were proved related factors of postoperative gastroparesis syndrome after pancreaticoduodenectomy by analyzed with binary logistic regression.
Conclusions:
The risk factors are preoperative gastro-intestinal obstruction syndrome, extensive lymphadenectomy, postoperative abdominal cavity infection, starting time of postoperative enteral nutrition, postoperative blood glucose level; The protective factors are preoperative percutaneous transhepatic cholangial drainage (PTCD) and postoperative blood terminal protein (TP) level.
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