Novel jejunoduodenostomy technique for prevention of duodenal stump blowout following gastrectomy

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Mohammad Ali Kalantar MotamediMohammad Reza Kalantar Motamedi

Abstract

Many patients undergo gastrectomy every year with a risk of duodenal stump blowout. We compared the conventional surgical techniques with a new and simple method of reconstruction to prevent this complication. We reviewed the medical records of all the patients who underwent gastrectomy from 2002 to 2013 (total or partial distal gastrectomies with Billroth II, Roux-en-Y, and our new technique of reconstruction) in Shohada Tajrish University hospital, Tehran, Iran. A total of 179 patients were eligible for the study: 101 had undergone the new technique (study group) and 78 had undergone the conventional methods (control group). There were three cases of duodenal stump blowout, all in the control group (4 %, P<0.05). One was fatal (1 %). The post-operative hospital stay was significantly shorter in the study group (8.93 vs. 11.51 days, P<0.05). Our results show that this new technique can effectively prevent duodenal stump blowout. Other advantages of this technique include the maintenance of physiological passage of food and a safe route for future diagnostic and therapeutic endoscopic interventions. We present a simple technique that eliminates the risk of duodenal stump blowout. Randomized controlled trials are necessary to co...Continue Reading

References

Feb 3, 1998·The American Journal of Gastroenterology·Y FujiwaraJ Utsunomiya
Dec 9, 1998·Digestive Surgery·Y FujiwaraJ Utsunomiya
Oct 2, 2003·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Makoto TakaseJiro Nagao
Mar 31, 2004·Current Surgery·Betty J Tsuei, Richard W Schwartz
Nov 30, 2012·Digestive Diseases and Sciences·Tsutomu NamikawaKazuhiro Hanazaki

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Citations

Jul 27, 2015·International Journal of Surgery Case Reports·Lars NelsonMuhammad A Jawad
Aug 31, 2019·Trauma Surgery & Acute Care Open·Amanda ChelednikStephen Barnes

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