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. 2015 Oct 13;77(5):409–425. doi: 10.1007/s12262-015-1366-9

Table 4.

Effects of non-surgical interventions on DGE following pancreatectomy

Author Type of study No. of patients Type of intervention Results
Yeo et al. (1993) [106] Prospective, randomized, placebo-controlled trial 118
• 58
• 60
IV erythromycin 6-hourly from third to tenth postoperative days vs. equal volume of 0.9 % saline • 37 % reduction in incidence of DGE in the intervention group
Kollmar et al. (2008) [114] Prospective, randomized, double-blinded placebo-controlled trial 67
• 35
• 32
Prophylactic octreotide • No effect on gastric emptying and incidence of POPF
Ohwada et al. (2001) [82] Prospective randomized controlled trial 31
• 14
• 17
Low-dose erythromycin 8 hourly from POD 1 to 14 vs. H-2 receptor antagonists and gastrokinetic drugs after Billroth-I pylorus-preserving PD • 75 % reduction in incidence of DGE in the intervention group
• Decreased duration of nasogastric drainage
• Early resumption of oral intake
Shan et al. (2005) [115] Prospective randomized controlled trial 23
• 11
• 12
Somatostatin prophylaxis • Incidence of DGE 82 % in intervention group vs. 25 % in the control group (p < 0.01)
• Somatostatin increased the half time of solid phase emptying
• Somatostatin reduced fasting plasma motilin levels and caused prolonged suppression of plasma motilin as compared to the control group