Readmission After Pancreaticodudenectomy – pro
The Whipple procedure is a complex and morbid up duration with significant readmission rates. In a recent review of experience at the Johns Hopkins, readmission rates have been decreasing. When early and late complications were compared, patients with early complications were likelier to be readmitted for delayed gastric emptying (12% vs. 4%; P<0.01), intra-abdominal abscess (17% vs. 4%; P<0.0001) and wound infections (6% vs.1%; P< 0.02). Conversely, the indication for those readmitted more than one year after surgery was more likely to be obstructive jaundice (17% vs. 4%; P<0.0001), metastatic disease (12% vs. 5%; P< 0.0001) or incisional hernias (12% vs. 3%; P<0.0001). Other reports show similar results.
Grewal SS, McClaine RJ, Schmulewitz N, Alzahrani MA, Hanseman DJ, Factors associated with recidivism following pancreaticoduodenectomy.HPB (Oxford). 2011 Dec;13(12):869-75.
Dawn M. Emick, Taylor S. Riall, John L. Cameron, Jordan M. Winter, Keith D. Lillemoe, JoAnn
Hospital readmission after pancreaticoduodenectomy Journal of Gastrointestinal Surgery
Volume 10, Number 9, 1243-1253, 2006
ZHU Zi-yi, HE Ji-kai, WANG Yi-fan, LIANG Xiao, YU Hong, WANG Xian-fa and CAI Xiu-junChin MedMultivariable analysis of factors associated with hospital readmission following pancreaticoduodenectomy
for malignant diseases J 2011;124(7):1022-1025
Read the Layperson version here.