The risk factor analysis of the delayed gastric emptying after Child pancreaticojejunostomy

Objective: To investigate the risk factors of the delayed gastric emptying( DGE) after child pancreaticojejunostomy( PD). Methods: The clinical data of 132 patients with PD were retrospectively analyzed from 2002 to 2012. Results: The postoperative DGE in 7 cases were found,the incidence rate of which was 35. 61%. The differences of DGE in gender,age,hypertension,diabetes mellitus, direct bilirubin levels,operative time and early postoperative enteral nutrition had no statistical significance( P 0. 05). The preoperative white blood cell levels,ALB levels,intraoperative blood loss and postoperative pancreatic fistula had effects on the incidence of DGE( P 0. 05 to P 0. 01). The multivariate analysis showed ALB and DGE was negatively correlated( P 0. 05),the value of OR was 0. 797. The intraoperative blood loss,operation time,postoperative pancreatic fistula were positively correlated with DGE( P 0. 01),the value of OR were 2. 275,1. 756 and 2. 885,respectively. Conclusions: Improving nutritional status,reducing blood loss,shortening the operation time can reduce the occurrence of DGE,postoperative pancreatic fistula can increase the incidence of DGE.