scholarly journals Effectiveness of an Open Drainage Procedure for Post-gastrectomy Duodenal Stump Leakage

2017 ◽  
Vol 78 (6) ◽  
pp. 1186-1190
Author(s):  
Junya KAWASOE ◽  
Masahiro YAMADA ◽  
Michihiro YAMAMOTO ◽  
Hideki HARADA ◽  
Hidekazu YAMAMOTO ◽  
...  
Keyword(s):  
Duodenal Stump ◽  
Open Drainage ◽  
Drainage Procedure ◽  
Duodenal Stump Leakage

Role of Percutaneous Transhepatic Biliary Drainage in Patients With Complications After Gastrectomy

2016 ◽  
Vol 101 (1-2) ◽  
pp. 78-83 ◽  
Author(s):  
Ki-Han Kim ◽  
Ho-Byoung Lee ◽  
Sung-Heun Kim ◽  
Min-Chan Kim ◽  
Ghap-Joong Jung
Keyword(s):  
Biliary Drainage ◽  
Percutaneous Transhepatic Biliary Drainage ◽  
Duodenal Stump ◽  
Surgical Interventions ◽  
Afferent Loop Syndrome ◽  
Soft Diet ◽  
Bile Drainage ◽  
Duodenal Stump Leakage ◽  
Transhepatic Biliary Drainage

The aim of this study was to elucidate the role of percutaneous transhepatic biliary drainage (PTBD) in patients with duodenal stump leakage (DSL) and afference loop syndrome (ALS) postgastrectomy for malignancy or benign ulcer perforation. Percutaneous transhepatic biliary drainage (PTBD) is an interventional radiologic procedure used to promote bile drainage. Duodenal stump leakage (DSL) and afferent loop syndrome (ALS) can be serious complications after gastrectomy. From January 2002 through December 2014, we retrospectively reviewed 19 patients who underwent PTBD secondary to DSL and ALS postgastrectomy. In this study, a PTBD tube was placed in the proximal duodenum near the stump or distal duodenum in order to decompress and drain bile and pancreatic fluids. Nine patients with DSL and 10 patients with ALS underwent PTBD. The mean hospital stay was 34.3 days (range, 12 to 71) in DSL group and 16.4 days (range, 6 to 48) in ALS group after PTBD. A liquid or soft diet was started within 2.6 days (range, 1 to 7) in the ALS group and within 3.4 days (range, 0 to 15) in the DSL group after PTBD. One patient with DSL had PTBD changed, and 2 patients with ALS underwent additional surgical interventions after PTBD. The PTBD procedure, during which the tube was inserted into the duodenum, was well-suited for decompression of the duodenum as well as for drainage of bile and pancreatic fluids. This procedure can be an alternative treatment for cases of DSL and ALS postgastrectomy.

Endoscopic clipping of duodenal stump leakage after Billroth II gastrectomy in gastric cancer patient

2009 ◽  
Vol 100 (1) ◽  
pp. 80-81 ◽  
Author(s):  
Jong Yeul Lee ◽  
Keun Won Ryu ◽  
Soo-Jeong Cho ◽  
Chan Gyoo Kim ◽  
Il Ju Choi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Cancer Patient ◽  
Gastric Cancer Patient ◽  
Duodenal Stump ◽  
Billroth Ii ◽  
Billroth Ii Gastrectomy ◽  
Duodenal Stump Leakage ◽  
Endoscopic Clipping

The duodenal stump leakage: May it be foreseen and prevented?

2020 ◽  
Vol 220 (5) ◽  
pp. 1375-1376
Author(s):  
Antonio Manenti ◽  
Luca Roncati ◽  
Gianrocco Manco ◽  
Alberto Farinetti
Keyword(s):  
Duodenal Stump ◽  
Duodenal Stump Leakage

scholarly journals Duodenal Stump Reinforcement with Purse-string Suture in Distal Gastrectomy under Laparoscope Combined with Uncut Roux-en-Y Reconstruction in Patients with Gastric Cancer

2020 ◽  
Author(s):  
Fengyuan Li ◽  
Jianghao Xu ◽  
Hao Xu ◽  
Weizhi Wang ◽  
Diancai Zhang ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Patient Outcomes ◽  
Distal Gastrectomy ◽  
Patient Characteristics ◽  
Linear Stapler ◽  
Duodenal Stump ◽  
Purse String Suture ◽  
Purse String ◽  
Significant Difference ◽  
Duodenal Stump Leakage

Abstract Background: This study aimed to compare patient outcomes after laparoscopic distal gastrectomy with uncut Roux-en-Y reconstruction for gastric cancer between a group who underwent a duodenal stump reinforcement procedure and those who did not.Methods: Data from 233 patients with gastric cancer (GC) undergoing distal gastrectomy under laparoscope combined with uncut Roux-en-Y reconstruction were retrospectively investigated. Patients were divided into two groups. The non-reinforcement group (NR) underwent surgery from June 2014 to March 2015 with no reinforcement of the duodenal stump (n=54) and the reinforcement group (R) underwent surgery from April 2015 to June 2018 with reinforcement of the duodenal stump (n=179). In group R, the duodenum was divided using an endoscope-assisted linear stapler, which was reinforced by a purse-string suture along the duodenal staple line. Results: Duodenal stump leakage was observed in 2 patients from group NR (3.7%), while no duodenal stump leakage or fistula was detected in group R. In addition, no significant difference was observed in the patient characteristics between group NR and R.Conclusions: The incidence of duodenal stump leakage can be reduced by reinforcement with a purse-string suture.

scholarly journals Risk Factors for Duodenal Stump Leakage after Laparoscopic Gastrectomy for Gastric Cancer

2020 ◽  
Vol 20 (1) ◽  
pp. 81
Author(s):  
Lihu Gu ◽  
Kang Zhang ◽  
Zefeng Shen ◽  
Xianfa Wang ◽  
Hepan Zhu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gastric Cancer ◽  
Laparoscopic Gastrectomy ◽  
Duodenal Stump ◽  
Duodenal Stump Leakage

Duodenal stump leakage. Lessons to learn from a large-scale 15-year cohort study

2020 ◽  
Vol 220 (4) ◽  
pp. 976-981 ◽  
Author(s):  
Yam Po Chu Patricia ◽  
Wong Ka Fai Kevin ◽  
Lam Fong Yee ◽  
Fung Kiu Jing ◽  
Szeto Kylie ◽  
...  
Keyword(s):  
Cohort Study ◽  
Large Scale ◽  
Duodenal Stump ◽  
Duodenal Stump Leakage

Duodenal stump leakage

1950 ◽  
Vol 79 (4) ◽  
pp. 549-556 ◽  
Author(s):  
John R. Robinson
Keyword(s):  
Duodenal Stump ◽  
Duodenal Stump Leakage

scholarly journals Comparison Between Minimally Invasive and Open Gastrectomy for Gastric Cancer in Europe: A Systematic Review and Meta-analysis

2016 ◽  
Vol 106 (1) ◽  
pp. 3-20 ◽  
Author(s):  
I. D. Kostakis ◽  
A. Alexandrou ◽  
E. Armeni ◽  
C. Damaskos ◽  
G. Kouraklis ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Blood Loss ◽  
Minimally Invasive ◽  
Hospital Stay ◽  
Postoperative Bleeding ◽  
Postoperative Mortality ◽  
Duodenal Stump ◽  
Conversion Rates ◽  
Pubmed Database ◽  
Duodenal Stump Leakage

Aims: We compared laparoscopic and robotic gastrectomies with open gastrectomies and with each other that were held for gastric cancer in Europe. Methods: We searched for studies conducted in Europe and published up to 20 February 2015 in the PubMed database that compared laparoscopic or robotic with open gastrectomies for gastric cancer and with each other. Results: We found 18 original studies (laparoscopic vs open: 13; robotic vs open: 3; laparoscopic vs robotic: 2). Of these, 17 were non-randomized trials and only 1 was a randomized controlled trial. Only four studies had more than 50 patients in each arm. No significant differences were detected between minimally invasive and open approaches regarding the number of retrieved lymph nodes, anastomotic leakage, duodenal stump leakage, anastomotic stenosis, postoperative bleeding, reoperation rates, and intraoperative/postoperative mortality. Nevertheless, laparoscopic procedures provided higher overall morbidity rates when compared with open ones, but robotic approaches did not differ from open ones. On the contrary, blood loss was less and hospital stay was shorter in minimally invasive than in open approaches. However, the results were controversial concerning the duration of operations when comparing minimally invasive with open gastrectomies. Additionally, laparoscopic and robotic procedures provided equivalent results regarding resection margins, duodenal stump leakage, postoperative bleeding, intraoperative/postoperative mortality, and length of hospital stay. On the contrary, robotic operations had less blood loss, but lasted longer than laparoscopic ones. Finally, there were relatively low conversion rates in laparoscopic (0%–6.7%) and robotic gastrectomies (0%–5.6%) in most studies. Conclusion: Laparoscopic and robotic gastrectomies may be considered alternative approaches to open gastrectomies for treating gastric cancer. Minimally invasive operations are characterized by less blood loss and shorter hospital stay than open ones. In addition, robotic procedures have less blood loss, but last longer than laparoscopic ones.

scholarly journals Gastrojejunoduodenostomy in Prophylaxis and Treatment of Duodenal Stump Leakage after Previous Distal Gastrectomy Due to Peptic Ulcer

2020 ◽  
Vol 28 (4) ◽  
pp. 460-469
Author(s):  
V.I. Rusin ◽  
◽  
K.Ye. Rumiantsev ◽  
V.V. Rusin ◽  
V.V. Mashura ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Distal Gastrectomy ◽  
Duodenal Stump ◽  
Duodenal Stump Leakage
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