Value of Scintigraphy for Assessing Delayed Gastric Emptying After Pancreatic Surgery View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-12

AUTHORS

Gan van Samkar, Wietse J. Eshuis, Marike Lemmers, Dirk J. Gouma, Roel J. Bennink, Markus W. Hollmann, Marcel G. W. Dijkgraaf, Olivier R. C. Busch

ABSTRACT

BACKGROUND: Delayed gastric emptying (DGE) occurs frequently after pancreatic surgery. Recently a consensus definition of DGE was introduced, and this grading system is currently widely used. The aim of this study was to compare results of gastric emptying scintigraphy with the grade of DGE after pancreatic surgery. METHODS: In 44 patients undergoing exploration for a pancreatic head or periampullary tumor, 28 pancreatoduodenectomies (PDs) and 16 double-bypass procedures were performed. All patients underwent preoperative and postoperative gastric emptying scintigraphy. We investigated whether the incidence of DGE was correlated with the results of gastric emptying scintigraphy. RESULTS: DGE occurred in 19 (43 %) patients. Clinically relevant DGE (grades B and C) prevailed in the PD group. Median postoperative residual activity at t = 2 h (%RA120) in these groups was 36 % (no DGE), 75 % (grade A), 93 % (grade B), and 95 % (grade C). DGE grade B or C was found in 7 of 10 patients with %RA120 of ≥94 % on postoperative day (POD) 7. CONCLUSIONS: Postoperative %RA120 on scintigraphy is positively associated with severity of DGE. Gastric emptying scintigraphy on POD 7 can predict the severity of DGE. When postoperative gastric emptying scintigraphy shows high residual radioactivity, the likelihood of further progression to grade B or C DGE is high and warrants investigation for underlying causes. More... »

PAGES

2911-2917

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00268-013-2219-y

DOI

http://dx.doi.org/10.1007/s00268-013-2219-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1041315757

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24121362


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