RT Journal
A1 Gauvin JM, Sarmiento JM, Sarr MG
T1 PYlorus-preserving pancreaticoduodenectomy with complete preservation of the pyloroduodenal blood supply and innervation
JF Archives of Surgery
JO Archives of Surgery
YR 2003
FD November 1
VO 138
IS 11
SP 1261
OP 1263
DO 10.1001/archsurg.138.11.1261
UL http://dx.doi.org/10.1001/archsurg.138.11.1261
AB 
Pylorus-preserving pancreaticoduodenectomy is an accepted treatment for benign and malignant diseases of the pancreas. Some element of delayed gastric emptying affects as many as 46% of patients.1- 2 Although usually transient, delayed gastric emptying may extend length of hospital stay and persist for several weeks. In addition to pancreatic anastomotic leaks,3 reduced blood flow and compromised innervation to the antral-pyloric pump mechanism have been implicated as causes.4- 6