Addition of Braun enteroenterostomy to standard reconstruction in pancreaticoduodenectomy: impact on early outcomes

Venkatarami Reddy Vutukuru; Sivaramakrishna Gavini; Chandramaliteeswaran Chandrakasan; Brahmeshwara Rao Musunuru; Sarala Settipalli

doi:10.18203/2349-2902.isj20174507

Authors

Venkatarami Reddy Vutukuru Department of Surgical Gastroenterology, Sri Venkateswara Institute of Medical sciences, Tirupati, Andhra Pradesh, India
Sivaramakrishna Gavini Department of Surgical Gastroenterology, Sri Venkateswara Institute of Medical sciences, Tirupati, Andhra Pradesh, India
Chandramaliteeswaran Chandrakasan Department of Surgical Gastroenterology, Sri Venkateswara Institute of Medical sciences, Tirupati, Andhra Pradesh, India
Brahmeshwara Rao Musunuru Department of Surgical Gastroenterology, Sri Venkateswara Institute of Medical sciences, Tirupati, Andhra Pradesh, India
Sarala Settipalli Department of Surgical Gastroenterology, Sri Venkateswara Institute of Medical sciences, Tirupati, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20174507

Keywords:

BEE, Pancreaticoduodenectomy, Pancreatic fistula, Delayed gastric emptying

Abstract

Background: Morbidity following Pancreaticoduodenectomy still remains high. Few studies have shown decrease in morbidity with the addition of Braun Enteroenterostomy (BEE). Aim of the present study was to determine any possible benefit with addition of BE to the standard reconstruction after pancreaticoduodenectomy.

Methods: In this prospective randomized controlled study, all patients who underwent Pancreaticoduodenectomy from June 2012 to July 2016 were included. They were randomized to undergo either standard reconstruction (Group A) or with addition of Braun Enteroenterostomy to standard reconstruction (Group B). Outcomes were compared between 2 groups and the results were analyzed. P value of <0.05 was considered significant.

Results: 104 patients were included in the study. Group A included 56 patients who underwent standard reconstruction and Group B had 48 patients who had addition of BEE to standard reconstruction. The demographic profile, tumour characteristics, and biochemical profile were similar in 2 groups. Mean operating time and Intra operative blood loss were similar. The incidence of pancreatic fistula (POPF) did not differ significantly in 2 groups (14/56, 25% in group A versus 8/48, 16.6% in group B; p = 0.42). The incidence of Delayed Gastric Emptying (DGE) was not statistically different in 2 groups (20/56, 35.7% in group A versus 12/48, 25% in group B; p=0.77). Infection rates were similar in two groups. Mean hospital stay was similar in both groups (11.2 days versus 10.7 days; p=0.68).

Conclusions: The outcomes of patients after pancreaticoduodenectomy were not altered by addition of Braun Enteroenterostomy to standard reconstruction.

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Author Biography

Sivaramakrishna Gavini, Department of Surgical Gastroenterology, Sri Venkateswara Institute of Medical sciences, Tirupati, Andhra Pradesh, India

Dept. of Surgical Gastroenterology

Assistant Professor

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