scholarly journals Diagnosis and treatment of duodenal stump leakage after laparoscopic gastrectomy

2017 ◽  
Vol 25 (5) ◽  
pp. 399
Author(s):  
Hong-Bin Liu
2020 ◽  
Vol 20 (1) ◽  
pp. 81
Author(s):  
Lihu Gu ◽  
Kang Zhang ◽  
Zefeng Shen ◽  
Xianfa Wang ◽  
Hepan Zhu ◽  
...  

2016 ◽  
Vol 101 (1-2) ◽  
pp. 78-83 ◽  
Author(s):  
Ki-Han Kim ◽  
Ho-Byoung Lee ◽  
Sung-Heun Kim ◽  
Min-Chan Kim ◽  
Ghap-Joong Jung

The aim of this study was to elucidate the role of percutaneous transhepatic biliary drainage (PTBD) in patients with duodenal stump leakage (DSL) and afference loop syndrome (ALS) postgastrectomy for malignancy or benign ulcer perforation. Percutaneous transhepatic biliary drainage (PTBD) is an interventional radiologic procedure used to promote bile drainage. Duodenal stump leakage (DSL) and afferent loop syndrome (ALS) can be serious complications after gastrectomy. From January 2002 through December 2014, we retrospectively reviewed 19 patients who underwent PTBD secondary to DSL and ALS postgastrectomy. In this study, a PTBD tube was placed in the proximal duodenum near the stump or distal duodenum in order to decompress and drain bile and pancreatic fluids. Nine patients with DSL and 10 patients with ALS underwent PTBD. The mean hospital stay was 34.3 days (range, 12 to 71) in DSL group and 16.4 days (range, 6 to 48) in ALS group after PTBD. A liquid or soft diet was started within 2.6 days (range, 1 to 7) in the ALS group and within 3.4 days (range, 0 to 15) in the DSL group after PTBD. One patient with DSL had PTBD changed, and 2 patients with ALS underwent additional surgical interventions after PTBD. The PTBD procedure, during which the tube was inserted into the duodenum, was well-suited for decompression of the duodenum as well as for drainage of bile and pancreatic fluids. This procedure can be an alternative treatment for cases of DSL and ALS postgastrectomy.


2009 ◽  
Vol 100 (1) ◽  
pp. 80-81 ◽  
Author(s):  
Jong Yeul Lee ◽  
Keun Won Ryu ◽  
Soo-Jeong Cho ◽  
Chan Gyoo Kim ◽  
Il Ju Choi ◽  
...  

2020 ◽  
Vol 220 (5) ◽  
pp. 1375-1376
Author(s):  
Antonio Manenti ◽  
Luca Roncati ◽  
Gianrocco Manco ◽  
Alberto Farinetti

2020 ◽  
Author(s):  
Fengyuan Li ◽  
Jianghao Xu ◽  
Hao Xu ◽  
Weizhi Wang ◽  
Diancai Zhang ◽  
...  

Abstract Background: This study aimed to compare patient outcomes after laparoscopic distal gastrectomy with uncut Roux-en-Y reconstruction for gastric cancer between a group who underwent a duodenal stump reinforcement procedure and those who did not.Methods: Data from 233 patients with gastric cancer (GC) undergoing distal gastrectomy under laparoscope combined with uncut Roux-en-Y reconstruction were retrospectively investigated. Patients were divided into two groups. The non-reinforcement group (NR) underwent surgery from June 2014 to March 2015 with no reinforcement of the duodenal stump (n=54) and the reinforcement group (R) underwent surgery from April 2015 to June 2018 with reinforcement of the duodenal stump (n=179). In group R, the duodenum was divided using an endoscope-assisted linear stapler, which was reinforced by a purse-string suture along the duodenal staple line. Results: Duodenal stump leakage was observed in 2 patients from group NR (3.7%), while no duodenal stump leakage or fistula was detected in group R. In addition, no significant difference was observed in the patient characteristics between group NR and R.Conclusions: The incidence of duodenal stump leakage can be reduced by reinforcement with a purse-string suture.


2020 ◽  
Vol 220 (4) ◽  
pp. 976-981 ◽  
Author(s):  
Yam Po Chu Patricia ◽  
Wong Ka Fai Kevin ◽  
Lam Fong Yee ◽  
Fung Kiu Jing ◽  
Szeto Kylie ◽  
...  

1950 ◽  
Vol 79 (4) ◽  
pp. 549-556 ◽  
Author(s):  
John R. Robinson

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