Laparoscopic stomach-partitioning gastrojejunostomy is an effective palliative procedure to improve quality of life in patients with malignant gastroduodenal outlet obstruction.

Hidetoshi Eguchi, Kazuhiro Yada, Kohei Shibata, Toshifumi Matsumoto, Tsuyoshi Etoh, Kazuhiro Yasuda, Masafumi Inomata, Norio Shiraishi, Masayuki Ohta, Seigo Kitano

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Abstract

A patient with gastroduodenal obstruction caused by an unresectable gastroduodenal or periampullary cancer cannot ingest food and/or liquid. The patient's quality of life rapidly deteriorates, resulting in a dismal prognosis. Stomach-partitioning gastrojejunostomy has been previously reported, and here, we evaluate the laparoscopic procedure. We performed laparoscopic stomach-partitioning gastrojejunostomy in 18 patients with unresectable gastroduodenal or periampullary cancers. Data on operation time, blood loss, complications, and postoperative course were retrospectively collected. The mean operation time was 152 min, and conversion to open surgery was not required in any patients. Postoperative complications occurred in three patients (17%) and included cholangitis, anastomotic ulcer hemorrhage, and enterocolitis. The mean time to oral intake was 4.5 days, and the mean and median duration of oral intake were maintained for 133 and 88 days, respectively. Laparoscopic stomach-partitioning gastrojejunostomy is a safe and effective procedure that allows patients with gastroduodenal outlet obstruction to eat again and improve the quality of their remaining life.

Original languageEnglish
Pages (from-to)153-156
Number of pages4
JournalAsian journal of endoscopic surgery
Volume5
Issue number4
Publication statusPublished - Jan 1 2012
Externally publishedYes

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Gastric Bypass
Stomach
Quality of Life
Conversion to Open Surgery
Enterocolitis
Postoperative Hemorrhage
Cholangitis
Ulcer
Neoplasms
Hemorrhage
Food

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Laparoscopic stomach-partitioning gastrojejunostomy is an effective palliative procedure to improve quality of life in patients with malignant gastroduodenal outlet obstruction. / Eguchi, Hidetoshi; Yada, Kazuhiro; Shibata, Kohei; Matsumoto, Toshifumi; Etoh, Tsuyoshi; Yasuda, Kazuhiro; Inomata, Masafumi; Shiraishi, Norio; Ohta, Masayuki; Kitano, Seigo.

In: Asian journal of endoscopic surgery, Vol. 5, No. 4, 01.01.2012, p. 153-156.

Research output: Contribution to journalArticle

Eguchi, H, Yada, K, Shibata, K, Matsumoto, T, Etoh, T, Yasuda, K, Inomata, M, Shiraishi, N, Ohta, M & Kitano, S 2012, 'Laparoscopic stomach-partitioning gastrojejunostomy is an effective palliative procedure to improve quality of life in patients with malignant gastroduodenal outlet obstruction.', Asian journal of endoscopic surgery, vol. 5, no. 4, pp. 153-156.
Eguchi, Hidetoshi ; Yada, Kazuhiro ; Shibata, Kohei ; Matsumoto, Toshifumi ; Etoh, Tsuyoshi ; Yasuda, Kazuhiro ; Inomata, Masafumi ; Shiraishi, Norio ; Ohta, Masayuki ; Kitano, Seigo. / Laparoscopic stomach-partitioning gastrojejunostomy is an effective palliative procedure to improve quality of life in patients with malignant gastroduodenal outlet obstruction. In: Asian journal of endoscopic surgery. 2012 ; Vol. 5, No. 4. pp. 153-156.
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