{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T19:53:59Z","timestamp":1789588439507,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,12,27]],"date-time":"2013-12-27T00:00:00Z","timestamp":1388102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>\nWe showed in a previous study that pylorus\u2010resecting pancreaticoduodenectomy (PrPD), which divides the stomach adjacent to the pylorus ring, preserves more than 95 % of the stomach and significantly reduced the incidence of delayed gastric emptying (DGE) compared with pylorus\u2010preserving pancreaticoduodenectomy (PpPD). However, long\u2010term outcomes of PrPD and the adverse effect of early postoperative DGE on long\u2010term outcomes remain unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 130 patients enrolled in a previous study were followed for 24\u00a0months after surgery. Primary endpoint was whether PrPD is a better surgical procedure than PpPD regarding long\u2010term outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Weight loss &gt; grade 2 (Common Terminology Criteria for Adverse Events, Version 4.03) at 24\u00a0months after surgery was significantly better in group PrPD (16.2 %) than in group PpPD (42.2 %) (<jats:italic>p<\/jats:italic> = 0.011). Nutritional status and late postoperative complications were similar for the two groups. The incidence of weight loss &gt; grade 2 at 24\u00a0months was 63.6 % in DGE patients with DGE and 25.3 % in non\u2010DGE patients (<jats:italic>p<\/jats:italic> = 0.010). <jats:italic>T<\/jats:italic><jats:sub>max<\/jats:sub> (time to peak <jats:sup>13<\/jats:sup>CO<jats:sub>2<\/jats:sub> content in <jats:sup>13<\/jats:sup>C\u2010acetate breath test) at 24\u00a0months in DGE patients was significantly delayed compared with that in non\u2010DGE patients (27.9 \u00b1 22.7 vs. 16.5 \u00b1 10.1\u00a0min, <jats:italic>p<\/jats:italic> = 0.023). Serum albumin level at 24\u00a0months was higher in non\u2010DGE patients than in those with DGE (3.7 \u00b1 0.6 vs. 4.1 \u00b1 0.4\u00a0g\/dl, <jats:italic>p<\/jats:italic> = 0.013).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>PrPD offers long\u2010term outcomes similar to those of PpPD. DGE may be associated with weight loss and poor nutritional status in patients with long\u2010term outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-013-2420-z","type":"journal-article","created":{"date-parts":[[2013,12,26]],"date-time":"2013-12-26T14:29:38Z","timestamp":1388068178000},"page":"1476-1483","source":"Crossref","is-referenced-by-count":32,"title":["Pylorus\u2010Resecting Pancreaticoduodenectomy Offers Long\u2010Term Outcomes Similar to Those of Pylorus\u2010Preserving Pancreaticoduodenectomy: Results of a Prospective Study"],"prefix":"10.1002","volume":"38","author":[{"given":"Manabu","family":"Kawai","sequence":"first","affiliation":[{"name":"Second Department of Surgery, School of Medicine Wakayama Medical University 811\u20101 Kimiidera 641\u20108510 Wakayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaji","family":"Tani","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, School of Medicine Wakayama Medical 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