Analysis of risk factors for functional delayed gastric emptying after pancreaticoduodenectomy with Multivariate logistic regression

Objective To study the risk factors for functional delayed gastric emptying(FDGE)after pancreaticoduodenectomy. Methods The clinical data of 101 cases undergoing pancreaticoduodenectomy in our hospital from January 1994 to January 2008 were reviewed retrospectively. Results The incidence of FDGE was 27.7%(28/101). Univariate analysis showed PPPD, intraoperative blood transfusions,postoperative blood glucose, postoperative abdominal infection, postoperative pancreatic fistula and biliary fistula and intestinal fistula were the risk factors for gastric emptying after pancreaticoduodenectomy. Multivariate Logistic analysis regression revealed that postoperative abdominal infection, PPPD,intraoperative blood transfusions,postoperative blood glucose were independent risk fac-tors(OR = 7. 892, 7. 071,5. 882 and 2. 882) of FDGE after pancreaticoduodenectomy. Conclusion Postoperative abdominal infection, PPPD, intraoperative blood transfusions, postoperative blood glucose can increase the incidence of FDGE. Key words: Pancreaticoduodenectomy; Delayed gastric emptying; Risk factors