Laparoscopic gastrojejunostomy for gastric outlet obstruction in patients with unresectable hepatopancreatobiliary cancers: A personal series and systematic review of the literature

World Journal of Gastroenterology : WJG
Alba Manuel-VázquezJosé Manuel Ramia

Abstract

The major symptoms of advanced hepatopancreatic-biliary cancer are biliary obstruction, pain and gastric outlet obstruction (GOO). For obstructive jaundice, surgical treatment should de consider in recurrent stent complications. The role of surgery for pain relief is marginal nowadays. On the last, there is no consensus for treatment of malignant GOO. Endoscopic duodenal stents are associated with shorter length of stay and faster relief to oral intake with more recurrent symptoms. Surgical gastrojejunostomy shows better long-term results and lower re-intervention rates, but there are limited data about laparoscopic approach. We performed a systematic review of the literature, according PRISMA guidelines, to search for articles on laparoscopic gastrojejunostomy for malignant GOO treatment. We also report our personal series, from 2009 to 2017. A review of the literature suggests that there is no standardized surgical technique either standardized outcomes to report. Most of the studies are case series, so level of evidence is low. Decision-making must consider medical condition, nutritional status, quality of life and life expectancy. Evaluation of the patient and multidisciplinary expertise are required to select appropriate a...Continue Reading

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Citations

Sep 10, 2020·Endoscopy International Open·Janine B KastelijnFrank P Vleggaar
May 1, 2020·Clinical and Translational Gastroenterology·Anna FábiánZoltán Szepes
Nov 11, 2020·Gastrointestinal Endoscopy·UNKNOWN ASGE Standards of Practice CommitteeUNKNOWN (ASGE Standards of Practice Committee Chair, 2017-2020)
Mar 2, 2021·Annals of the Royal College of Surgeons of England·J I RodríguezE Briceño
Aug 8, 2021·Journal of Clinical Medicine·Tsuyoshi TakedaNaoki Sasahira

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Methods Mentioned

BETA
gastric

Software Mentioned

SUSTENT

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