Document Detail

Safety of modified double-stapling end-to-end gastroduodenostomy in distal subtotal gastrectomy.
MedLine Citation:
PMID:  17708549     Owner:  NLM     Status:  MEDLINE    
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.
Han-Kwang Yang; Hyuk-Joon Lee; Hye-Sung Ahn; Moon-Won Yoo; In Kyu Lee; Kuhn Uk Lee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of surgical oncology     Volume:  96     ISSN:  0022-4790     ISO Abbreviation:  J Surg Oncol     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-20     Completed Date:  2008-01-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0222643     Medline TA:  J Surg Oncol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  624-9     Citation Subset:  IM    
Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
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MeSH Terms
Anastomosis, Surgical / adverse effects,  methods*
Duodenostomy / adverse effects,  methods*
Gastrectomy / adverse effects,  methods*
Middle Aged
Postoperative Complications / etiology
Retrospective Studies
Stomach Neoplasms / surgery*
Surgical Stapling / adverse effects,  methods*

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