Analysis of the risk factors for gastroparesis syndrome after laparoscopic pancreatoduodenectomy

Objective To investigate the risk factors associated with gastroparesis syndrome after laparoscopic pancreatoduodenectomy which provide reference for clinical prevention. Methods Ninety cases of laparoscopic pancreatoduodenectomy admitted from August 2013 to December 2016 in Traditional Chinese Medicine Hospital of Guangdong Province were studied retrospectively, 57 were male(63.3%), the average age was 54.6 years old.Twenty cases were diagnosed postoparative gastroparesis syndrome(22.2%). To screen out the risk factors, 31 independent variables were analyzed by univariate analysis and logistic regression. Results Univariate analysis showed that malnutrition, hypoproteinemia, anemia, pylorus-preserving, extensive lymph nodes dissection, anxiety, high blood sugar before operation, delay of enteral nutrition, abdominal infection and postoperative high blood sugar were associated with postoperative gastroparesis(The value of OR were 3.143, 3.587, 2.852, 2.889, 3.231, 7.071, 2.889, 5.359, 6.000, 6.263, P<0.05). Multivariate Logistic regression analysis showed that extensive lymph nodes dissection, anxiety, pylorus-preserving, abdominal infection, delay of enteral nutrition, hypoproteinemia, postoperative high blood sugar were risk factors of postoperative gastroparesis(The value of OR were 17.574, 8.931, 6.637, 6.461, 6.446, 5.414, 5.200; P<0.05). Conclusion Multiple risk factors can lead to gastroparesis after laparoscopic pancreatoduodenectomy, measures should be taken aimed at these risk factors during perioperative period. Key words: Laparoscopic; Pancreatoduodenectomy; Gastroparesis; Risk factors; Logistic regression