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Risk Factors for Duodenal Stump Leakage after Laparoscopic Gastrectomy for Gastric Cancer
PURPOSE: Duodenal stump leakage (DSL) is a potentially fatal complication that can occur after gastrectomy, but its underlying risk factors are unclear. This study aimed to investigate the risk factors and management of DSL after laparoscopic radical gastrectomy for gastric cancer (GC). MATERIALS AN...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Gastric Cancer Association
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105415/ https://www.ncbi.nlm.nih.gov/pubmed/32269847 http://dx.doi.org/10.5230/jgc.2020.20.e4 |
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author | Gu, Lihu Zhang, Kang Shen, Zefeng Wang, Xianfa Zhu, Hepan Pan, Junhai Zhong, Xin Khadaroo, Parikshit Asutosh Chen, Ping |
author_facet | Gu, Lihu Zhang, Kang Shen, Zefeng Wang, Xianfa Zhu, Hepan Pan, Junhai Zhong, Xin Khadaroo, Parikshit Asutosh Chen, Ping |
author_sort | Gu, Lihu |
collection | PubMed |
description | PURPOSE: Duodenal stump leakage (DSL) is a potentially fatal complication that can occur after gastrectomy, but its underlying risk factors are unclear. This study aimed to investigate the risk factors and management of DSL after laparoscopic radical gastrectomy for gastric cancer (GC). MATERIALS AND METHODS: Relevant data were collected from several prospective databases to retrospectively analyze the data of GC patients who underwent Billroth II (B-II) or Roux-en-Y (R-Y) reconstruction after laparoscopic gastrectomy from 2 institutions (Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, and HwaMei Hospital, University of Chinese Academy of Sciences). The DSL risk factors were analyzed using univariate and multivariate analysis regression. RESULTS: A total of 810 patients were eligible for our analysis (426 with R-Y, 384 with B-II with Braun). Eleven patients had DSL (1.36%). Body mass index (BMI), elevated preoperative C-reactive protein (CRP) level, and unreinforced duodenal stump were the independent risk factors for DSL. DSL was diagnosed in 2–12 days, with a median of 8 days. Seven patients received conservative treatment, 3 patients received puncture treatment, and only 1 patient required reoperation. All patients recovered successfully after treatment. CONCLUSIONS: The risk factors of DSL were BMI ≥24 kg/m(2), elevated preoperative CRP level, and unreinforced duodenal stump. Nonsurgical treatments for DSL are preferred. |
format | Online Article Text |
id | pubmed-7105415 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Korean Gastric Cancer Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-71054152020-04-08 Risk Factors for Duodenal Stump Leakage after Laparoscopic Gastrectomy for Gastric Cancer Gu, Lihu Zhang, Kang Shen, Zefeng Wang, Xianfa Zhu, Hepan Pan, Junhai Zhong, Xin Khadaroo, Parikshit Asutosh Chen, Ping J Gastric Cancer Original Article PURPOSE: Duodenal stump leakage (DSL) is a potentially fatal complication that can occur after gastrectomy, but its underlying risk factors are unclear. This study aimed to investigate the risk factors and management of DSL after laparoscopic radical gastrectomy for gastric cancer (GC). MATERIALS AND METHODS: Relevant data were collected from several prospective databases to retrospectively analyze the data of GC patients who underwent Billroth II (B-II) or Roux-en-Y (R-Y) reconstruction after laparoscopic gastrectomy from 2 institutions (Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, and HwaMei Hospital, University of Chinese Academy of Sciences). The DSL risk factors were analyzed using univariate and multivariate analysis regression. RESULTS: A total of 810 patients were eligible for our analysis (426 with R-Y, 384 with B-II with Braun). Eleven patients had DSL (1.36%). Body mass index (BMI), elevated preoperative C-reactive protein (CRP) level, and unreinforced duodenal stump were the independent risk factors for DSL. DSL was diagnosed in 2–12 days, with a median of 8 days. Seven patients received conservative treatment, 3 patients received puncture treatment, and only 1 patient required reoperation. All patients recovered successfully after treatment. CONCLUSIONS: The risk factors of DSL were BMI ≥24 kg/m(2), elevated preoperative CRP level, and unreinforced duodenal stump. Nonsurgical treatments for DSL are preferred. The Korean Gastric Cancer Association 2020-03 2020-02-17 /pmc/articles/PMC7105415/ /pubmed/32269847 http://dx.doi.org/10.5230/jgc.2020.20.e4 Text en Copyright © 2020. Korean Gastric Cancer Association https://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Gu, Lihu Zhang, Kang Shen, Zefeng Wang, Xianfa Zhu, Hepan Pan, Junhai Zhong, Xin Khadaroo, Parikshit Asutosh Chen, Ping Risk Factors for Duodenal Stump Leakage after Laparoscopic Gastrectomy for Gastric Cancer |
title | Risk Factors for Duodenal Stump Leakage after Laparoscopic Gastrectomy for Gastric Cancer |
title_full | Risk Factors for Duodenal Stump Leakage after Laparoscopic Gastrectomy for Gastric Cancer |
title_fullStr | Risk Factors for Duodenal Stump Leakage after Laparoscopic Gastrectomy for Gastric Cancer |
title_full_unstemmed | Risk Factors for Duodenal Stump Leakage after Laparoscopic Gastrectomy for Gastric Cancer |
title_short | Risk Factors for Duodenal Stump Leakage after Laparoscopic Gastrectomy for Gastric Cancer |
title_sort | risk factors for duodenal stump leakage after laparoscopic gastrectomy for gastric cancer |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105415/ https://www.ncbi.nlm.nih.gov/pubmed/32269847 http://dx.doi.org/10.5230/jgc.2020.20.e4 |
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