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Safety of modified double-stapling end-to-end gastroduodenostomy in distal subtotal gastrectomy

DC Field Value Language
dc.contributor.authorYang, Han-Kwang-
dc.contributor.authorLee, Hyuk-Joon-
dc.contributor.authorAhn, Hye-Sung-
dc.contributor.authorYoo, Moon-Won-
dc.contributor.authorLee, In Kyu-
dc.contributor.authorLee, Kuhn Uk-
dc.date.accessioned2009-11-18T02:32:21Z-
dc.date.available2009-11-18T02:32:21Z-
dc.date.issued2007-08-22-
dc.identifier.citationJ Surg Oncol. 2007 Dec 1;96(7):624-9en
dc.identifier.issn0022-4790 (Print)-
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17708549-
dc.identifier.urihttps://hdl.handle.net/10371/12759-
dc.description.abstractBACKGROUND AND OBJECTIVES: Double-stapling end-to-end gastroduodenostomy (DS-BI) has several potential advantages over other anastomotic techniques in that it is a simple procedure, with no additional gastrotomy on the remnant stomach, and less tension on the anastomosis site. We evaluated the safety of DS-BI by comparing it with the hand-sewn Billroth II gastrojejunostomy (B-II). METHODS: Medical records of 933 consecutive patients (DS-BI 428, B-II 505) who underwent distal subtotal gastrectomy were retrospectively reviewed. Several clinicopathological features and treatment results were compared between the two groups. RESULTS: The overall complication rates were 9.3% in the DS-BI group and 15.2% in the B-II group (P = 0.007). Anastomosis-related complications, such as anastomosis-site leakage, stenosis, and intraluminal bleeding, did not differ between the two groups (1.2% in the DS-BI group and 1.8% in the B-II group, P = 0.59). All the anastomosis-related complications were managed conservatively. Postoperative mortality rates were 0% in the DS-BI group and 0.4% (2/505) in the B-II group. CONCLUSIONS: Modified DS-BI is a safe procedure, with short-term results similar to those of hand-sewn Billroth II anastomosis.en
dc.language.isoen-
dc.publisherJohn Wiley & Sonsen
dc.subjectAdulten
dc.subjectAgeden
dc.subjectAnastomosis, Surgical/adverse effects/*methodsen
dc.subjectDuodenostomy/adverse effects/*methodsen
dc.subjectFemaleen
dc.subjectGastrectomy/adverse effects/*methodsen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPostoperative Complications/etiologyen
dc.subjectRetrospective Studiesen
dc.subjectStomach Neoplasms/*surgeryen
dc.subjectSurgical Stapling/adverse effects/*methodsen
dc.titleSafety of modified double-stapling end-to-end gastroduodenostomy in distal subtotal gastrectomyen
dc.typeArticleen
dc.contributor.AlternativeAuthor양한광-
dc.contributor.AlternativeAuthor이혁준-
dc.contributor.AlternativeAuthor안혜성-
dc.contributor.AlternativeAuthor유문원-
dc.contributor.AlternativeAuthor이인규-
dc.contributor.AlternativeAuthor이건욱-
dc.identifier.doi10.1002/jso.20883-
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