Skip to main content

Table 4 Predictive factors for FDGE with preoperative pyloric obstruction patients (114 cases)

From: Analysis of risk factors and prevention strategies for functional delayed gastric emptying in 1243 patients with distal gastric cancer

Predictors n (%) Univariate analysis Multivariate analysis
P OR (95% CI) P OR (95% CI)
Male sex 88 (77.2%) 0.659 0.798 (0.294–2.170)   
Age, yearsa 61.746 ± 11.835 0.411 0.985(0.950–1.021)   
BMI, kg/m2a 22.775 ± 3.333 < 0.001 1.394 (1.176–1.653) 0.005 1.309(1.086–1.579)
Smoking history 26 (22.8%) 0.336 0.620 (0.234–1.643)   
History of abdominal surgery 17 (14.9%) 0.987 1.010 (0.300–3.402)   
Preoperative albumin, g/La 39.675 ± 5.012 0.003 1.175 (1.056–1.306) 0.144 1.111 (0.965–1.280)
Preoperative hemoglobin, g/La 121.395 ± 26.799 0.010 1.024 (1.006–1.043) 0.601 1.006 (0.983–1.030)
Postoperative albumin, g/La 32.404 ± 4.370 0.026 1.136 (1.016–1.271) 0.557 1.039 (0.915–1.178)
Postoperative hemoglobin, g/La 113.570 ± 24.093 0.083 1.017 (0.998–1.036)   
Preoperative gastric decompression 66 (57.9%) 0.001 0.211(0.082–0.538) 0.019 0.231 (0.068–0.785)
Periods of obstruction 16.430 ± 10.908 0.038 1.048(1.003–1.095) 0.039 1.054 (1.003–1.108)
Level of obstruction   0.033   0.603  
 None food retention 22(19.3%) Control Control
 Small amount 60(52.6%) 0.025 0.300(0.105–0.858) 0.348 0.523(0.135–2.027)
 Large amount 32(28.1%) 0.020 0.222(0.062–0.792) 0.849 0.844(0.148–4.815)
Preoperative anxiety   0.251    
 None 82 (71.9%) Control   
 Counseling 18 (15.8%) 0.184 2.292 (0.675–7.778)   
 Drugs 14 (12.3%) 0.206 2.062 (0.672–6.333)   
Operation time, mina 184.158 ± 49.252 0.161 1.006 (0.998–1.015)   
Operation blood loss, mla 193.421 ± 86.861 0.955 1.000 (0.995–1.005)   
Approach
 Opening 75 (65.8%)   Control   
 Laparoscopy 39 (34.2%) 0.202 1.778 (0.734–4.306)   
Reconstruction
 Roux-en-Y 50 (35.6%)   Control   
 Uncut Roux-en-Y 64 (64.4%) 0..709 1.182 (0.492–2.839)   
Volume of residual stomach   0.259    
 LGPA preserved 36 (31.6%)   Control   
 LGPA ligation 40 (35.1%) 0.153 2.352 (0.728–7.593)   
 First branch of SGA ligation 38(33.3%) 0.123 2.526 (0.779–8.190)   
Position of anastomosis   0.472    
 Greater curvature parallel 29 (25.4%) 0.500 1.500 (0.462–4.874)   
 Greater curvature perpendicular 45 (39.5%) 0.221 1.915 (0.677–5.416)   
 Middle position of gastric posterior wall 40 (35.1%)   Control   
Stapler type
 Circle stapler 40 (35.1%)   Control   
 Linear stapler 74 (64.9%) 0.828 1.428 (1.073–1.783)   
Position of afferent loop
 Greater curvature 56 (49.1%)   Control   
 Lesser curvature 58 (50.9%) 0.746 0.867 (0.365–2.057)   
  1. aMean ± SD