Risk Factor Identification for Delayed Gastric Emptying after Distal Pancreatectomy—An Evaluation of 1688 Patients Based on the German StuDoQ|Pancreas Registry

Tim Fahlbusch, Philipp Höhn, Carsten Klinger, Jens Werner, Tobias Keck, Helmut Friess, Jörg Köninger, Thomas W. Kraus, Guido Alsfasser, Winfried Padberg, Jörg Peter Ritz, Waldemar Uhl, Orlin Belyaev

Research output: Contribution to journalArticlepeer-review

Abstract

Delayed gastric emptying (DGE) ranks as one of the most frequent complications in pancreatic surgery. It leads to increased costs for healthcare systems, lengthened hospital stays and reduced quality of life. Data about DGE after distal pancreatectomy (DP) are scarce. The StuDoQ|Pancreas registry of the German Society of General and Visceral Surgery provided data of patients who underwent distal pancreatectomy from 1 January 2014 to 31 December 2018. The retrospective evaluation included comprehensive data: 1688 patients were enrolled; DGE occurred 160 times (9.5%); grade “A” was reported for 98 (61.3%), grade “B” for 41 (25.6%) and grade “C” for 21 (13.1%) patients. In univariate analysis pancreatic fistulas were associated with higher frequencies of intraabdominal abscesses (9.1% vs. 2%, p > 0.001), postpancreatectomy haemorrhage (8.1% vs. 3.7%, >0.001) and DGE (14.5% vs. 6%, p < 0.001). According to multivariate analysis, “abscesses with invasive therapy” (p < 0.001), “other surgical complications” (p < 0.001), prolonged “stays in ICU” (p < 0.001), lengthened duration of surgery (p < 0.001) and conventional surgery (p = 0.007) were identified as independent risk factors for DGE. Perioperative and postoperative factors were identified as risk factors for DGE. Following research should examine this highly relevant topic in a prospective, register-based manner. As there is no causal therapy for DGE, its avoidance is of major importance.

Original languageEnglish
Article number5539
JournalJournal of Clinical Medicine
Volume11
Issue number19
DOIs
StatePublished - Oct 2022
Externally publishedYes

Keywords

  • StuDoQ
  • delayed gastric emptying
  • distal pancreatectomy
  • morbidity
  • pancreatic surgery
  • postoperative complications
  • postoperative pancreatic fistula

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