Outcomes of Non-Operative Treatment for Duodenal Stump Leakage after Gastrectomy in Patients with Gastric Cancer
Journal of Gastric Cancer
; : 28-33, 2016.
Article
ي En
| WPRIM
| ID: wpr-20817
المكتبة المسؤولة:
WPRO
ABSTRACT
PURPOSE:
We evaluated the clinical outcomes of the non-operative management of post-gastrectomy duodenal stump leakage in patients with gastric cancer. MATERIALS ANDMETHODS:
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.Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Stomach Neoplasms
/
Duodenostomy
/
Sepsis
/
Catheters
/
Gastrectomy
/
Length of Stay
المحددات:
Humans
اللغة:
En
مجلة:
Journal of Gastric Cancer
السنة:
2016
نوع:
Article