Journal of Gastric Cancer

  • 제16권1호
  • /
  • Pages.28-33
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  • 2016
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  • 2093-582X(pISSN)
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  • 2093-5641(eISSN)
대한위암학회 (The Korean Gastric Cancer Association)
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Outcomes of Non-Operative Treatment for Duodenal Stump Leakage after Gastrectomy in Patients with Gastric Cancer

  • Ali, Bandar Idrees (Division of Gastrointestinal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Park, Cho Hyun (Division of Gastrointestinal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Song, Kyo Young (Division of Gastrointestinal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 투고 : 2016.02.15
  • 심사 : 2016.03.09
  • 발행 : 2016.03.31
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초록

Purpose: We evaluated the clinical outcomes of the non-operative management of post-gastrectomy duodenal stump leakage in patients with gastric cancer. Materials and Methods: A total of 1,230 patients underwent gastrectomy at our institution between 2010 and 2014. Duodenal stump leakage was diagnosed in 19 patients (1.5%), and these patients were included in this study. The management options varied with patient condition; patients were managed conservatively, with a pigtail catheter drain, or by tube duodenostomy via a Foley catheter. The patients' clinical outcomes were analyzed. Results: Duodenal stump leakage was diagnosed in all 19 patients within a median of 10 days (range, 1~20 days). The conservative group comprised of 5 patients (26.3%), the pigtail catheter group of 11 patients (57.9%), and the Foley catheter group of 3 patients (15.8%). All 3 management modalities were successful; none of the patients needed further operative intervention. The median hospital stay was 18, 33, and 42 days, respectively. Conclusions: Non-operative management of duodenal stump leakage for selected groups of patients with gastric cancer was effective for control of intra-abdominal sepsis. This management modality can help obviate the need for surgical intervention.

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참고문헌

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  2. Role of Laparoscopic Management for Postgastrectomy Complications vol.28, pp.4, 2016, https://doi.org/10.1089/lap.2017.0541
  3. Management of duodenal stump fistula after gastrectomy for malignant disease: a systematic review of the literature vol.19, pp.None, 2016, https://doi.org/10.1186/s12893-019-0520-x
  4. Single Purse-String Suture for Reinforcement of Duodenal Stump During Laparoscopic Radical Gastrectomy for Gastric Cancer vol.9, pp.None, 2016, https://doi.org/10.3389/fonc.2019.01020
  5. Duodenal stump reinforcement might reduce both incidence and severity of duodenal stump leakage after laparoscopic gastrectomy with Roux-en-Y reconstruction for gastric cancer vol.22, pp.5, 2019, https://doi.org/10.1007/s10120-019-00946-8
  6. Two cases of a perforated duodenal diverticulum after gastrectomy with Roux-en-Y reconstruction vol.5, pp.1, 2016, https://doi.org/10.1186/s40792-019-0738-y
  7. Risk Factors for Duodenal Stump Leakage after Laparoscopic Gastrectomy for Gastric Cancer vol.20, pp.1, 2016, https://doi.org/10.5230/jgc.2020.20.e4
  8. Intra-cavitary contrast-enhanced ultrasound for diagnosis of duodenal fistula: A case report and review of the relevant literature vol.29, pp.2, 2016, https://doi.org/10.11569/wcjd.v29.i2.99