Background: Data on enhanced recovery programmes after pancreatic surgery are sparse. This retrospective cohort study, using historical controls, aimed to evaluate the impact of a fast-track programme after pancreaticoduodenectomy (PD). Methods: Between 2004 and 2007, 252 patients undergoing PD were treated by a fast-track programme that included earlier postoperative feeding and mobilization. The patients were compared with an equally sized control group that received a traditional programme from 2000 to 2004. Outcome measures were morbidity, length of stay and readmission rate. Results: The rates of pancreatic fistula and other intra-abdominal complications were similar in the two groups. Delayed gastric emptying (DGE) was significantly reduced in the fast-track group (13.9 versus 24.6 per cent; P = 0.004). The independent effect of the fast-track protocol in reducing DGE was confirmed by the multiple regression analysis (adjusted odds ratio 0.477, P = 0.005). Length of stay was reduced with the fast-track protocol (median 13 versus 15 days; P > 0.001), without increasing the readmission rate (7.1 versus 6.3 per cent; P = 0.865). Conclusion: A fast-track programme after PD improves gastric emptying and reduces postoperative stay. Copyright © 2008 British Journal of Surgery Society Ltd. Published by John Wiley & Sons Ltd.

Balzano, G., Zerbi, A., Braga, M., Rocchetti, S., Beneduce, A., Di Carlo, V. (2008). Fast-track recovery programme after pancreaticoduodenectomy reduces delayed gastric emptying. BRITISH JOURNAL OF SURGERY, 95(11), 1387-1393 [10.1002/bjs.6324].

Fast-track recovery programme after pancreaticoduodenectomy reduces delayed gastric emptying

Zerbi, A;Braga, M;
2008

Abstract

Background: Data on enhanced recovery programmes after pancreatic surgery are sparse. This retrospective cohort study, using historical controls, aimed to evaluate the impact of a fast-track programme after pancreaticoduodenectomy (PD). Methods: Between 2004 and 2007, 252 patients undergoing PD were treated by a fast-track programme that included earlier postoperative feeding and mobilization. The patients were compared with an equally sized control group that received a traditional programme from 2000 to 2004. Outcome measures were morbidity, length of stay and readmission rate. Results: The rates of pancreatic fistula and other intra-abdominal complications were similar in the two groups. Delayed gastric emptying (DGE) was significantly reduced in the fast-track group (13.9 versus 24.6 per cent; P = 0.004). The independent effect of the fast-track protocol in reducing DGE was confirmed by the multiple regression analysis (adjusted odds ratio 0.477, P = 0.005). Length of stay was reduced with the fast-track protocol (median 13 versus 15 days; P > 0.001), without increasing the readmission rate (7.1 versus 6.3 per cent; P = 0.865). Conclusion: A fast-track programme after PD improves gastric emptying and reduces postoperative stay. Copyright © 2008 British Journal of Surgery Society Ltd. Published by John Wiley & Sons Ltd.
Articolo in rivista - Articolo scientifico
pancreatic surgery
English
2008
95
11
1387
1393
reserved
Balzano, G., Zerbi, A., Braga, M., Rocchetti, S., Beneduce, A., Di Carlo, V. (2008). Fast-track recovery programme after pancreaticoduodenectomy reduces delayed gastric emptying. BRITISH JOURNAL OF SURGERY, 95(11), 1387-1393 [10.1002/bjs.6324].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/223147
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