Analysis of complications after Whippleʼs procedure using ERAS protocols

Aristizábal-Linares, Juan Pablo; Estrada-Quiroz, José Julián; Hoyos-Gómez, Carolina; Dávila-Martínez, Diego Fernando; Palacios-Rodríguez, Oscar Germán; Sánchez-Zapata, Paola

doi:10.1097/cj9.0000000000000140

Colombian Journal of Anesthesiology

2019

DOI: 10.1097/cj9.0000000000000140

|View full text |Cite

Analysis of complications after Whippleʼs procedure using ERAS protocols

Juan Pablo Aristizábal-Linares

José Julián Estrada-Quiroz

Carolina Hoyos-Gómez

et al.

Abstract: Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2022

2024

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

How to Reduce Delayed Gastric Emptying After Pancreatoduodenectomy: A Systematic Literature Review and Meta-Analysis

Rebelo,

Kresse,

Sunami

et al. 2024

Annals of Surgery Open

View full text Add to dashboard Cite

Introduction: The occurrence of delayed gastric emptying (DGE) following pancreatoduodenectomy is of high clinical relevance. Despite the pivotal nature of this topic, the existing evidence is limited and often conflicting. This meta-analysis aims to assess the impact of various interventions, such as the type of surgical reconstruction (specifically pylorus resection or preservation), enhanced recovery after surgery (ERAS), epidural anesthesia (EA), as well as strategies involving nasogastric decompression on DGE. Methods: Following the PRISMA guidelines, a systematic search was conducted. Studies that compared patients undergoing pancreatoduodenectomy regarding one of the following interventions were included: pylorus-preserving pancreaticoduodenectomy (ppPD) versus pylorus-resecting pancreaticoduodenectomy (prPD), ERAS versus no ERAS, epidural anesthesia EA versus no EA, nasogastric decompression versus no nasogastric decompression and jejunostomy/nasojejunal feeding tube placement (J/NJF) versus no J/NJF. Results: The analysis included 5930 patients from 29 studies. Patients undergoing ppPD exhibited a higher incidence of DGE compared with those undergoing prPD (logOR, −0.95; 95% CI = −1.57 to −0.34; P = 0.002). Additionally, patients in the ERAS group showed reduced rates of DGE (logOR, −0.712; 95% CI = −1.242 to −0.183; P = 0.008). Lower rates of DGE were observed in patients without a J/NJF (logOR, −0.618; 95% CI, 0.39–0.84; P < 0.001). Conclusion: In summary, our meta-analysis reveals that pylorus resection, adherence to ERAS protocols, and the absence of a J/NJF are associated with lower rates of DGE after pancreatoduodenectomy. Although these results are partially based on observational studies, they contribute valuable insights to the current understanding of interventions impacting DGE in these complex procedures.

show abstract

How to Reduce Delayed Gastric Emptying After Pancreatoduodenectomy: A Systematic Literature Review and Meta-Analysis

Rebelo,

Kresse,

Sunami

et al. 2024

Annals of Surgery Open

View full text Add to dashboard Cite

show abstract

Evaluation of Results of Eras Program After Pancreatoduodenectomy Depending on the Type of Gastrointestinal Reconstruction

Skums

Usenko

2022

Wiad Lek

View full text Add to dashboard Cite

The aim: To assess the effect of gastrojejunostomy with Braun anastomosis during PD for prevention of DGE in ERAS protocol patients. Materials and methods: A total of 92 patients from 28 to 75 years were included in this study, who underwent PD with ERAS program. Patients were divided into 2 groups, depending on type of reconstruction - PD with Child reconstruction and PD with gastrojejunostomy with Braun anastomosis. Results: In non-Braun group nasogastric tube was removed on POD 1 in 56 (93.3%) patients and was reinserted later in 4 (6.7%) patients. DGE was observed in 8 (13,3%) patients, which required enteral feeding via nasojejunal tube. In 51 (85.0%) patients feeding was started according to ERAS program without the need for other methods of nutritional support. In Braun group nasogastric tube was removed on POD 1 in all patients after the X-ray control and oral feeding was started. Due to the development of DGE, a nasojejunal tube for enteral nutrition was placed in two cases. In 30 (93,7%) patients peroral feeding was started in accordance to enhanced recovery program. Thus, the frequency of DGE in group II was lower (6.3%), but the difference did not reach statistical significance (p = 0.299). Conclusions: The formation of a Braun anastomosis in PD with the use of ERAS program can reduce the frequency of DGE and eliminate the consequences of technical errors. More studies are needed for stronger evidence.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Analysis of complications after Whippleʼs procedure using ERAS protocols

Abstract: Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud.

Cited by 2 publications

References 30 publications

How to Reduce Delayed Gastric Emptying After Pancreatoduodenectomy: A Systematic Literature Review and Meta-Analysis

How to Reduce Delayed Gastric Emptying After Pancreatoduodenectomy: A Systematic Literature Review and Meta-Analysis

Evaluation of Results of Eras Program After Pancreatoduodenectomy Depending on the Type of Gastrointestinal Reconstruction

Contact Info

Product

Resources

About