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International Journal of Clinical and Experimental Medicine Research

ISSN Online: 2575-7970 Downloads: 238584 Total View: 2617887
Frequency: quarterly ISSN Print: 2575-7989 CODEN: IJCEMH
Email: ijcemr@hillpublisher.com
Article Open Access http://dx.doi.org/10.26855/ijcemr.2022.07.010

Comparative Study on the Incidence of Pancreatic Fistula and Biliary Fistula in Patients after Pancreaticoduodenectomy with Two Gastric Tube Placement Sites

Bo Yang

Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China.

*Corresponding author: Bo Yang

Published: July 29,2022

Abstract

Objective: To investigate the effect of gastric tube placement on pancreatic fistula and biliary fistula after pancreaticoduodenectomy. Methods: The clinical data of 77 patients undergoing pancreaticoduodenectomy admitted from November 2014 to December 2020 were retrospectively analyzed. According to the location of gastric tube, they were divided into group A (31 cases) and group B (46 cases). In group A, the gastric tube was inserted into the jejunum input loop through the gastrointestinal anastomosis until near the bilioenteric anastomosis; In group B, the gastric tube was inserted into the jejunum input loop about 5cm through the gastrointestinal anastomosis. The incidence of postoperative pancreatic fistula and biliary fistula complications was compared between the two groups. Results: There were no significant differences in operative time, intraoperative blood loss and gastric tube indwelling time between the two groups (P>0.05). The incidence of pancreatic fistula and biliary fistula in group A was lower than that in group B, and the difference was statistically significant (P<0.05). Conclusion: The placement of gastric tube into jejunal input loop through gastrointestinal anastomosis to the vicinity of biliary anastomosis can significantly reduce the incidence of pancreatic fistula and biliary fistula after pancreaticoduodenectomy, which has certain clinical reference value.

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How to cite this paper

Comparative Study on the Incidence of Pancreatic Fistula and Biliary Fistula in Patients after Pancreaticoduodenectomy with Two Gastric Tube Placement Sites

How to cite this paper: Bo Yang. (2022) Comparative Study on the Incidence of Pancreatic Fistula and Biliary Fistula in Patients after Pancreaticoduodenectomy with Two Gastric Tube Placement Sites. International Journal of Clinical and Experimental Medicine Research6(3), 295-300.

DOI: http://dx.doi.org/10.26855/ijcemr.2022.07.010