The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Pylorus ring resection reduces delayed gastric emptying in patients undergoing pancreatoduodenectomy: a prospective, randomized, controlled trial of pylorus-resecting versus pylorus-preserving pancreatoduodenectomy. Ann Surg 2011; 253: 495–501.

Published: 7th July 2011

Authors: Kawai M, Tani M, Hirono S, Miyazawa M, Shimizu A, Uchiyama K et al. et al.

Conclusion

This study included 130 procedures: the pylorus preservation method preserved most of the stomach. Outcomes were similar for nutrition and quality of life for up to six months, but pylorus preservation significantly increased the rate of delayed gastric emptying: 17.2 vs. 4.5 per cent.

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