AB059. P031. Outcomes of pylorus-preserving versus conventional pancreaticoduodenectomy in the era of enhanced recovery: a single-institution experience

Abstract

Background: Recent randomized trials and meta-analysis have demonstrated an increased incidence of delayed gastric emptying (DGE) with pylorus preserving pancreaticoduodenectomy (PP) compared to conventional Whipple (CW). At our high-volume referral center, both techniques are performed according to individual surgeon preference, with perioperative care standardized by an enhanced recovery [Electronic Residency Application Service (ERAS)] protocol—a setup akin to an expertise-based trial. We therefore set out to compare the morbidity experience of patients undergoing PP and CW at our institution.