title: Braun enteroenterostomy during pancreaticoduodenectomy decreases postoperative delayed gastric emptying.
abstract: BACKGROUND
  Modified digestive reconstruction during pancreaticoduodenectomy (PD) may affect the postoperative incidence of delayed gastric emptying (DGE). The purpose of this study is to investigate whether Braun enteroenterostomy following PD can reduce the incidence of DGE.
  
  
  METHODS
  Four hundred seven patients who received PD with child reconstruction from June 2000 to March 2013 were divided into 2 groups: 206 patients with Braun enteroenterostomy (Child-Braun group) and 201 patients without Braun enteroenterostomy (Child-non-Braun group). Clinical data were retrospectively extracted; univariate and multivariate analyses were performed to investigate the association between Braun enteroenterostomy and DGE.
  
  
  RESULTS
  DGE was less frequent in the Child-Braun group than in the Child-non-Braun group (6.7% vs. 26.87%, P < .001). The multivariate logistic regression analysis showed that Braun enteroenterostomy was the only significant independent factor associated with the reduced DGE after PD with Child reconstruction, with an odds ratio of 4.485 (95% confidence interval: 2.372 to 8.482, P < .001).
  
  
  CONCLUSIONS
  Braun enteroenterostomy reduces the incidence of postoperative DGE associated with PD.
authors.affiliation: Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, 301 Yanchang Road, Shanghai 200072, China; Department of General Surgery, Shuangjiang Autonomous County People's Hospital, Lincang, Yunnan Province 677300, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Xu
authors.affiliation: Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, 301 Yanchang Road, Shanghai 200072, China.
authors.forename: Hongbo
authors.initials: H
authors.lastname: Meng
authors.affiliation: Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, 301 Yanchang Road, Shanghai 200072, China.
authors.forename: Mingping
authors.initials: M
authors.lastname: Qian
authors.affiliation: Department of General Surgery, Shuangjiang Autonomous County People's Hospital, Lincang, Yunnan Province 677300, China.
authors.forename: Haijiang
authors.initials: H
authors.lastname: Gu
authors.affiliation: Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, 301 Yanchang Road, Shanghai 200072, China. Electronic address: pfdbs@aliyun.com.
authors.forename: Bo
authors.initials: B
authors.lastname: Zhou
authors.affiliation: Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, 301 Yanchang Road, Shanghai 200072, China. Electronic address: songsurgery@163.com.
authors.forename: Zhenshun
authors.initials: Z
authors.lastname: Song
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D005260:Female; D018589:Gastroparesis / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D015994:Incidence; D007583:Jejunum / Q000601:surgery*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D016577:Pancreaticoduodenectomy; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control*; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Braun enteroenterostomy; Child reconstruction; Delayed gastric emptying; Pancreatic cancer; Pancreaticoduodenectomy