{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T02:32:48Z","timestamp":1774405968898,"version":"3.50.1"},"reference-count":27,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T00:00:00Z","timestamp":1663718400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Delayed gastric emptying (DGE) ranks as one of the most frequent complications in pancreatic surgery. It leads to increased costs for healthcare systems, lengthened hospital stays and reduced quality of life. Data about DGE after distal pancreatectomy (DP) are scarce. The StuDoQ|Pancreas registry of the German Society of General and Visceral Surgery provided data of patients who underwent distal pancreatectomy from 1 January 2014 to 31 December 2018. The retrospective evaluation included comprehensive data: 1688 patients were enrolled; DGE occurred 160 times (9.5%); grade \u201cA\u201d was reported for 98 (61.3%), grade \u201cB\u201d for 41 (25.6%) and grade \u201cC\u201d for 21 (13.1%) patients. In univariate analysis pancreatic fistulas were associated with higher frequencies of intraabdominal abscesses (9.1% vs. 2%, p &gt; 0.001), postpancreatectomy haemorrhage (8.1% vs. 3.7%, &gt;0.001) and DGE (14.5% vs. 6%, p &lt; 0.001). According to multivariate analysis, \u201cabscesses with invasive therapy\u201d (p &lt; 0.001), \u201cother surgical complications\u201d (p &lt; 0.001), prolonged \u201cstays in ICU\u201d (p &lt; 0.001), lengthened duration of surgery (p &lt; 0.001) and conventional surgery (p = 0.007) were identified as independent risk factors for DGE. Perioperative and postoperative factors were identified as risk factors for DGE. Following research should examine this highly relevant topic in a prospective, register-based manner. As there is no causal therapy for DGE, its avoidance is of major importance.<\/jats:p>","DOI":"10.3390\/jcm11195539","type":"journal-article","created":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T01:47:06Z","timestamp":1663811226000},"page":"5539","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Risk Factor Identification for Delayed Gastric Emptying after Distal Pancreatectomy\u2014An Evaluation of 1688 Patients Based on the German StuDoQ|Pancreas Registry"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2178-6685","authenticated-orcid":false,"given":"Tim","family":"Fahlbusch","sequence":"first","affiliation":[{"name":"Department of General and Visceral Surgery, St. Josef Hospital, Ruhr-University Bochum, 44801 Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2913-9690","authenticated-orcid":false,"given":"Philipp","family":"H\u00f6hn","sequence":"additional","affiliation":[{"name":"Department of General and Visceral Surgery, St. Josef Hospital, Ruhr-University Bochum, 44801 Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carsten","family":"Klinger","sequence":"additional","affiliation":[{"name":"Deutsche Gesellschaft f\u00fcr Allgemein-und Viszeralchirurgie, 10117 Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Werner","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, and Transplant Surgery, University Hospital Munich, LMU, 80539 Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7651-6183","authenticated-orcid":false,"given":"Tobias","family":"Keck","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital Schleswig-Holstein, Campus L\u00fcbeck, 23562 L\u00fcbeck, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helmut","family":"Friess","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Chirurgie, Klinikum Rechts der Isar, TUM M\u00fcnchen, 80333 M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"K\u00f6ninger","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral-, Thorax- und Transplantationschirurgie, Katharinenhospital Stuttgart, 70174 Stuttgart, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas W.","family":"Kraus","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral- und Minimalinvasive Chirurgie, Nordwestkrankenhaus Frankfurt, 60488 Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2637-8947","authenticated-orcid":false,"given":"Guido","family":"Alsfasser","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Allgemein-, Viszeral-, Thorax-, Gef\u00e4\u00df- und Transplantationschirurgie, Universit\u00e4tsmedizin Rostock, 18057 Rostock, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Winfried","family":"Padberg","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, Universit\u00e4tsklinikum Gie\u00dfen Marburg, Standort Gie\u00dfen, 35392 Gie\u00dfen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg-Peter","family":"Ritz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein- und Viszeralchirurgie, Helios Kliniken Schwerin, 19055 Schwerin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7719-3192","authenticated-orcid":false,"given":"Waldemar","family":"Uhl","sequence":"additional","affiliation":[{"name":"Department of General and Visceral Surgery, St. Josef Hospital, Ruhr-University Bochum, 44801 Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orlin","family":"Belyaev","sequence":"additional","affiliation":[{"name":"Department of General and Visceral Surgery, St. Josef Hospital, Ruhr-University Bochum, 44801 Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1097\/SLA.0000000000001240","article-title":"Pancreatogastrostomy Versus Pancreatojejunostomy for RECOnstruction After PANCreatoduodenectomy (RECOPANC, DRKS 00000767): Perioperative and Long-term Results of a Multicenter Randomized Controlled Trial","volume":"263","author":"Keck","year":"2016","journal-title":"Ann. 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