+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Risk factors for duodenal stump leakage after gastrectomy for gastric cancer and management technique of stump leakage



Risk factors for duodenal stump leakage after gastrectomy for gastric cancer and management technique of stump leakage



Hepato-Gastroenterology 61(133): 1446-1453



The goal of this study was to elucidate the risk factors for duodenal stump leakage after gastrectomy for gastric cancer. In addition, the management of duodenal stump leakage is reviewed. From January 2002 through December 2012, 1,195 patients with gastric cancer who underwent gastric R0 resection were enrolled in this study. The clinicopathologic features, postoperative outcomes (i.e., operation time, hospital stay, surgical procedures, method of duodenal stump closure, retrieved lymph nodes), and the risk factors of duodenal stump leakage were analyzed. Of the 1,195 patients, 13 patients (1.1%) suffered duodenal stump leakage. Most of the patients with duodenal stump leakage were male (92.3%). Nine patients underwent a subtotal gastrectomy with Billroth- II or Roux-en-Y anastomosis; the other four patients underwent a total gastrectomy with a Roux-en-Y anastomosis. There were two mortalities. With univariate and multivariate analysis, age was the most predictable factor for duodenal stump leakage (p= 0.034, p=0.044) CONCLUSIONS: Duodenal stump leakage was affected by the age. For older patients who undergo a radical gastrectomy for gastric cancer, the surgeon must pay meticulous attention to the transection and mobilization of the duodenum in order to prevent duodenal stump leakage.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 058778449

Download citation: RISBibTeXText

PMID: 25436323


Related references

Duodenal stump reinforcement might reduce both incidence and severity of duodenal stump leakage after laparoscopic gastrectomy with Roux-en-Y reconstruction for gastric cancer. Gastric Cancer 2019, 2019

Outcomes of Non-Operative Treatment for Duodenal Stump Leakage after Gastrectomy in Patients with Gastric Cancer. Journal of Gastric Cancer 16(1): 28-33, 2016

Endoscopic clipping of duodenal stump leakage after Billroth II gastrectomy in gastric cancer patient. Journal of Surgical Oncology 100(1): 80-81, 2009

Nutritional support of duodenal stump leakage after gastrectomy for gastric carcinoma. Zhonghua Wei Chang Wai Ke Za Zhi 11(1): 47-49, 2008

Duodenal stump fistula after gastrectomy for gastric cancer: risk factors, prevention, and management. Annals of Surgical Treatment and Research 90(3): 157-163, 2016

What we can learn from a case of medical malpractice--surgeon is acquitted of wrongful death of his gastric cancer patient who died from multiple organ dysfunction syndrome following a duodenal stump leakage in gastrectomy. Nihon Geka Gakkai Zasshi 113(6): 525-526, 2013

Delayed duodenal stump blow-out following total gastrectomy for cancer: Heightened awareness for the continued presence of the surgical past in the present is the key to a successful duodenal stump disruption management. A case report. International Journal of Surgery Case Reports 5(12): 1229-1233, 2014

Leakage from the Duodenal Stump Following Gastric Resection. Lahey Clinic Foundation Bulletin 13: 190-197, 1964

Leakage of the duodenal or antral stump complicating gastric resection. Surgery, Gynecology and Obstetrics 99(3): 359-367, 1954

Risk factors and management of anastomotic leakage after radical gastrectomy for gastric cancer. Hepato-Gastroenterology 58(105): 218-223, 2011

Management of duodenal stump fistula after gastrectomy for gastric cancer: Systematic review. World Journal of Gastroenterology 21(24): 7571-7576, 2016

Percutaneous management of postoperative duodenal stump leakage with foley catheter. Cardiovascular and Interventional Radiology 36(5): 1344-1349, 2014

Complications of gastric surgery discussion human duodenal ulcer pancreatic common bile duct spleen middle colic artery lesions duodenal stump leakage dumping symptoms. Review of Surgery 26(1): 23-24, 1969

Anastomotic leakage, cystic duct stump leakage and local tumour recurrence: 'unhappy triad' following single port access laparoscopic right colectomy for cancer. Colorectal Disease 13(11): 1314, 2012

A study on the causes of duodenal stump leakage. Ankara Universitesi Tip Fakultesi Mecmuasi: 1080-1089, 1970