| Safety of modified double-stapling end-to-end gastroduodenostomy in distal subtotal gastrectomy. | |
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MedLine Citation:
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PMID: 17708549 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND OBJECTIVES: Double-stapling end-to-end gastroduodenostomy (DS-BI) has several potential advantages over other anastomotic techniques in that it is a simple procedure, with no additional gastrotomy on the remnant stomach, and less tension on the anastomosis site. We evaluated the safety of DS-BI by comparing it with the hand-sewn Billroth II gastrojejunostomy (B-II). METHODS: Medical records of 933 consecutive patients (DS-BI 428, B-II 505) who underwent distal subtotal gastrectomy were retrospectively reviewed. Several clinicopathological features and treatment results were compared between the two groups. RESULTS: The overall complication rates were 9.3% in the DS-BI group and 15.2% in the B-II group (P = 0.007). Anastomosis-related complications, such as anastomosis-site leakage, stenosis, and intraluminal bleeding, did not differ between the two groups (1.2% in the DS-BI group and 1.8% in the B-II group, P = 0.59). All the anastomosis-related complications were managed conservatively. Postoperative mortality rates were 0% in the DS-BI group and 0.4% (2/505) in the B-II group. CONCLUSIONS: Modified DS-BI is a safe procedure, with short-term results similar to those of hand-sewn Billroth II anastomosis. |
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Authors:
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Han-Kwang Yang; Hyuk-Joon Lee; Hye-Sung Ahn; Moon-Won Yoo; In Kyu Lee; Kuhn Uk Lee |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of surgical oncology Volume: 96 ISSN: 0022-4790 ISO Abbreviation: J Surg Oncol Publication Date: 2007 Dec |
Date Detail:
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Created Date: 2007-11-20 Completed Date: 2008-01-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0222643 Medline TA: J Surg Oncol Country: United States |
Other Details:
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Languages: eng Pagination: 624-9 Citation Subset: IM |
Affiliation:
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Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Anastomosis, Surgical / adverse effects, methods* Duodenostomy / adverse effects, methods* Female Gastrectomy / adverse effects, methods* Humans Male Middle Aged Postoperative Complications / etiology Retrospective Studies Stomach Neoplasms / surgery* Surgical Stapling / adverse effects, methods* |
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