{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T06:01:13Z","timestamp":1780984873940,"version":"3.54.1"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005713","name":"Technische Universit\u00e4t M\u00fcnchen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005713","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Updates Surg"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Few studies have examined delayed gastric emptying (DGE) following left pancreatectomy (LP). This study aimed to assess the incidence and impact and identify predictive pre\/intra-operative predictors. We conducted a retrospective, single-centre cohort including all adult patients who underwent LP from 2017 to 2024. Variables were analyzed using univariate and multivariable analysis. Among 213 LP patients, 34 (16.0%) developed DGE (grade A 11.7%, B 3.3%, C 0.9%). DGE was associated with longer hospitalization [30.50 (20.75\u201346.50) vs 14.00 (11.00\u201320.00) days,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u20090.001], higher major complications (67.6% vs 29.6%,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u20090.001), and more ICU stays (29.4% vs 13.4%,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.025); even isolated grade A DGE (no other complications) prolonged length of stay than in patients without any complications [20.00 (15.00\u201329.50) vs 12.00 (10.00\u201315.00) days,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.021]. DGE was linked to clinically relevant POPF (52.9% vs 29.6%;\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.010) and intra-abdominal abscess with invasive therapy (20.6% vs 6.1%;\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.015). In multivariable analysis, portal (PV)\/superior mesenteric vein (SMV) resection (OR 4.525,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.017) and pancreatic ductal adenocarcinoma (PDAC) histology (OR 3.121,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.024) were independent predictors of DGE. DGE is a frequent and under-estimated complication after LP, prolonging postoperative hospitalization; notably, even grade A DGE was linked to longer length of stay. PDAC histology and PV\/SMV resection were independent risk factors for DGE. Identifying these predictors enables prediction of DGE and supports targeted prevention and perioperative management.\n                  <\/jats:p>","DOI":"10.1007\/s13304-026-02593-y","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T14:11:03Z","timestamp":1774361463000},"page":"1243-1251","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinically relevant burden of delayed gastric emptying after left pancreatectomy and its predictors"],"prefix":"10.1007","volume":"78","author":[{"given":"Jingcheng","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carsten","family":"J\u00e4ger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alper","family":"Do\u011fru\u00f6z","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helmut","family":"Friess","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ihsan Ekin","family":"Demir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Scheufele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,24]]},"reference":[{"key":"2593_CR1","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1016\/j.jviscsurg.2016.04.005","volume":"153","author":"E Girard","year":"2016","unstructured":"Girard E, Abba J, Cristiano N et al (2016) Management of splenic and pancreatic trauma. 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The study was conducted in accordance with the 1964 Declaration of Helsinki and its later amendments.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Patients provided informed consent for the scientific analysis and publication of their de-identified data.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Written informed consent for inclusion in the institutional pancreatic surgery database and for scientific analysis and publication of de-identified data was obtained from all participants prior to database entry.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}