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Braun enteroenterostomy during pancreaticoduodenectomy decreases postoperative delayed gastric emptying

Bin Xu¹, Hongbo Meng², Mingping Qian²

¹Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, 301 Yanchang Road, Shanghai 200072, China; Department of General Surgery, Shuangjiang Autonomous County People's Hospital, Lincang, Yunnan Province 677300, China.

American Journal of Surgery

|December 3, 2014

Abstract

Background:

Modified digestive reconstruction during pancreaticoduodenectomy (PD) may affect the postoperative incidence of delayed gastric emptying (DGE). The purpose of this study is to investigate whether Braun enteroenterostomy following PD can reduce the incidence of DGE.

Methods:

Four hundred seven patients who received PD with child reconstruction from June 2000 to March 2013 were divided into 2 groups: 206 patients with Braun enteroenterostomy (Child-Braun group) and 201 patients without Braun enteroenterostomy (Child-non-Braun group). Clinical data were retrospectively extracted; univariate and multivariate analyses were performed to investigate the association between Braun enteroenterostomy and DGE.

Results:

DGE was less frequent in the Child-Braun group than in the Child-non-Braun group (6.7% vs. 26.87%, P < .001). The multivariate logistic regression analysis showed that Braun enteroenterostomy was the only significant independent factor associated with the reduced DGE after PD with Child reconstruction, with an odds ratio of 4.485 (95% confidence interval: 2.372 to 8.482, P < .001).

Conclusion:

Braun enteroenterostomy reduces the incidence of postoperative DGE associated with PD.

Keywords:

Braun enteroenterostomy Child reconstruction Delayed gastric emptying Pancreatic cancer Pancreaticoduodenectomy

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