ANALYSIS OF FACTORS ASSOCIATED WITH DELAYED GASTRIC EMPTYING AFTER WHIPPLE’S PROCEDURE

Objective: To assess the frequency and analyze associated factors of delayed gastric emptying among the patients undergoing Whipple’s procedure at surgical unit of a tertiary care centre in Pakistan. Study Design: Cross sectional study. Place and Duration of Study: Pak Emirates Military Hospit...

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Autores principales: Talha Yasin, Nasir Mehmud Wattoo, Qasim Butt, Kamran Safdar, Muhammad Asif
Formato: article
Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2021
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Acceso en línea:https://doi.org/10.51253/pafmj.v71iSuppl-1.2951
https://doaj.org/article/bc06988e95504e348bdc2fa30da3d84a
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spelling oai:doaj.org-article:bc06988e95504e348bdc2fa30da3d84a2021-12-02T19:11:54ZANALYSIS OF FACTORS ASSOCIATED WITH DELAYED GASTRIC EMPTYING AFTER WHIPPLE’S PROCEDUREhttps://doi.org/10.51253/pafmj.v71iSuppl-1.29510030-96482411-8842https://doaj.org/article/bc06988e95504e348bdc2fa30da3d84a2021-01-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/2951https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To assess the frequency and analyze associated factors of delayed gastric emptying among the patients undergoing Whipple’s procedure at surgical unit of a tertiary care centre in Pakistan. Study Design: Cross sectional study. Place and Duration of Study: Pak Emirates Military Hospital and Combined Military Hospital Rawalpindi, Pakistan, Apr 2018 to Mar 2019. Methodology: A prospective study was conducted on 80 patients of both the genders who underwent Whipple’s procedure at the surgical unit of abovementioned hospitals. Delayed gastric emptying was diagnosed based on the criteria as defined by the International Study Group of Pancreatic Surgery by the consultant surgeons involved. Factors studied in our analysis included age, gender, smoking, presence of co morbidities, peroperative blood transfusion, sepsis, operative time and BMI. Results: Out of 80 patients included in the final analysis, 61 (76.25%) were male and 19 (23.75%) were female. Mean age of patients included in our study was 46.31 ± 6.711 years. Thirty six (45%) patients had delayed gastric emptying while 44 (55%) did not meet the criteria as mentioned above. With binary logistic regression we found that presence of sepsis and high BMI had a strong relationship (p-value <0.05) with delayed gastric emptying after the Whipple’s procedure. Conclusion: Delayed gastric emptying is a fairly common phenomenon among the patients undergoing Whipple’s procedure. High BMI and post-operative sepsis constitute the group which is at the highest risk of developing this post-operative complication in our study.Talha YasinNasir Mehmud WattooQasim ButtKamran SafdarMuhammad AsifArmy Medical College Rawalpindiarticlewhipple'sdelayed gastric emptyingrisk factorsMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss SUPPL-1, Pp 235-239 (2021)
institution DOAJ
collection DOAJ
language EN
topic whipple's
delayed gastric emptying
risk factors
Medicine
R
Medicine (General)
R5-920
spellingShingle whipple's
delayed gastric emptying
risk factors
Medicine
R
Medicine (General)
R5-920
Talha Yasin
Nasir Mehmud Wattoo
Qasim Butt
Kamran Safdar
Muhammad Asif
ANALYSIS OF FACTORS ASSOCIATED WITH DELAYED GASTRIC EMPTYING AFTER WHIPPLE’S PROCEDURE
description Objective: To assess the frequency and analyze associated factors of delayed gastric emptying among the patients undergoing Whipple’s procedure at surgical unit of a tertiary care centre in Pakistan. Study Design: Cross sectional study. Place and Duration of Study: Pak Emirates Military Hospital and Combined Military Hospital Rawalpindi, Pakistan, Apr 2018 to Mar 2019. Methodology: A prospective study was conducted on 80 patients of both the genders who underwent Whipple’s procedure at the surgical unit of abovementioned hospitals. Delayed gastric emptying was diagnosed based on the criteria as defined by the International Study Group of Pancreatic Surgery by the consultant surgeons involved. Factors studied in our analysis included age, gender, smoking, presence of co morbidities, peroperative blood transfusion, sepsis, operative time and BMI. Results: Out of 80 patients included in the final analysis, 61 (76.25%) were male and 19 (23.75%) were female. Mean age of patients included in our study was 46.31 ± 6.711 years. Thirty six (45%) patients had delayed gastric emptying while 44 (55%) did not meet the criteria as mentioned above. With binary logistic regression we found that presence of sepsis and high BMI had a strong relationship (p-value <0.05) with delayed gastric emptying after the Whipple’s procedure. Conclusion: Delayed gastric emptying is a fairly common phenomenon among the patients undergoing Whipple’s procedure. High BMI and post-operative sepsis constitute the group which is at the highest risk of developing this post-operative complication in our study.
format article
author Talha Yasin
Nasir Mehmud Wattoo
Qasim Butt
Kamran Safdar
Muhammad Asif
author_facet Talha Yasin
Nasir Mehmud Wattoo
Qasim Butt
Kamran Safdar
Muhammad Asif
author_sort Talha Yasin
title ANALYSIS OF FACTORS ASSOCIATED WITH DELAYED GASTRIC EMPTYING AFTER WHIPPLE’S PROCEDURE
title_short ANALYSIS OF FACTORS ASSOCIATED WITH DELAYED GASTRIC EMPTYING AFTER WHIPPLE’S PROCEDURE
title_full ANALYSIS OF FACTORS ASSOCIATED WITH DELAYED GASTRIC EMPTYING AFTER WHIPPLE’S PROCEDURE
title_fullStr ANALYSIS OF FACTORS ASSOCIATED WITH DELAYED GASTRIC EMPTYING AFTER WHIPPLE’S PROCEDURE
title_full_unstemmed ANALYSIS OF FACTORS ASSOCIATED WITH DELAYED GASTRIC EMPTYING AFTER WHIPPLE’S PROCEDURE
title_sort analysis of factors associated with delayed gastric emptying after whipple’s procedure
publisher Army Medical College Rawalpindi
publishDate 2021
url https://doi.org/10.51253/pafmj.v71iSuppl-1.2951
https://doaj.org/article/bc06988e95504e348bdc2fa30da3d84a
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AT qasimbutt analysisoffactorsassociatedwithdelayedgastricemptyingafterwhipplesprocedure
AT kamransafdar analysisoffactorsassociatedwithdelayedgastricemptyingafterwhipplesprocedure
AT muhammadasif analysisoffactorsassociatedwithdelayedgastricemptyingafterwhipplesprocedure
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