The Added Value of Partial Stomach-partitioning to a Conventional Gastrojejunostomy in the Treatment of Gastric Outlet Obstruction

Introduction Poor results have been reported after conventional gastrojejunostomy (CGJ) as palliative surgical bypass treatment of gastric outlet obstruction (GOO). Partial stomach-partitioning gastrojejunostomy (PSPGJ) has been introduced as an alternative surgical treatment of GOO to reduce the ri...

Full description

Saved in:
Bibliographic Details
Published in:Journal of gastrointestinal surgery 2015-06, Vol.19 (6), p.1029-1035
Main Authors: Ernberg, Annika, Kumagai, Koshi, Analatos, Apostolos, Rouvelas, Ioannis, Swahn, Fredrik, Lindblad, Mats, Lundell, Lars, Nilsson, Magnus, Tsai, Jon A.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cancer
Cohort analysis
Endoscopy
Female
Follow-Up Studies
Gastrectomy - methods
Gastric Bypass - methods
Gastric Emptying
Gastric Outlet Obstruction - physiopathology
Gastric Outlet Obstruction - surgery
Gastroenterology
Humans
Laparoscopy
Male
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Middle Aged
Original Article
Ostomy
Palliative Care - methods
Retrospective Studies
Small intestine
Stomach
Surgery
Treatment Outcome
Ulcers
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction Poor results have been reported after conventional gastrojejunostomy (CGJ) as palliative surgical bypass treatment of gastric outlet obstruction (GOO). Partial stomach-partitioning gastrojejunostomy (PSPGJ) has been introduced as an alternative surgical treatment of GOO to reduce the risk of postoperative delayed gastric emptying (DGE). Aim The aim was to study PSPGJ as an alternative to CGJ in the treatment of GOO, with respect to DGE. Patients and Methods A retrospective cohort study was completed in all patients who underwent a bypass of the duodenum via PSPGJ or CGJ due to GOO. Cases where concomitant biliary or bariatric procedures were performed were excluded. Results Twenty-four patients met the inclusion criteria for the study; ten cases underwent PSPGJ and 14 CGJ. The incidence of DGE grade B-C was significantly lower in the PSPGJ group (0 %) compared with the CGJ group (42.9 %, p  = 0.024). Oral nutrition only was recorded more often at follow-up in the PSPGJ group (9/9, 100 %) than in the CGJ group (4/13, 30.8 %) ( p  = 0.002). Conclusion PSPGJ seems to be followed by a lower rate of DGE compared to CGJ.
ISSN:1091-255X
1873-4626
1873-4626
DOI:10.1007/s11605-015-2781-8