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Open Access 01-12-2022 | Liposarcoma | Research

Which style of duodenojejunostomy is better after resection of distal duodenum

Authors: Wenshuai Liu, Jiongyuan Wang, Lijie Ma, Aobo Zhuang, Jing Xu, Junyi He, Hua Yang, Yuan Fang, Weiqi Lu, Yong Zhang, Hanxing Tong

Published in: BMC Surgery | Issue 1/2022

Abstract

Background

Distal duodenal resections are sometimes necessary for radical surgery, but how to restore duodenal continuity is still unclear. This study aimed at determining which style of anastomosis was more suitable for the duodenojejunostomy after resection of distal duodenum.

Patients and methods

We retrospectively identified 34 patients who underwent distal duodenum resection at our center between January 2014 and December 2021. According to whether the end or the side of the proximal duodenum was involved in reconstruction, duodenojejunostomy were classified as End style (E-style) and Side style (S-style). Demographic data, clinicopathological details, and postoperative complications were analyzed between two groups.

Results

Thirteen patients (38.2%) received E-style duodenojejunostomy, and 21 patients (62.8%) received S-style duodenojejunostomy. Comparative analysis showed that in group of E-style, patients had a lower rate of multivisceral resection(5/13 vs 18/21; P = 0.008), delayed gastric emptying (DGE) (1/13 vs 11/21; P = 0.011) and intraperitoneal infection (2/13 vs 12/21; P = 0.03). In this study, the incidence of major complications was up to 35.3% (12/34) and no patient died of complication in perioperative period. In two group, there was no difference in the incidence of major complications (E-style vs S-style: 3/13 vs 9/21; P = 0.292).

Conclusions

The E-style duodenojejunostomy for the reconstruction of distal duodenum resection is safe and feasible. The E-style anastomosis may have potential value in decreasing the occurrence of complications such as DGE and intraperitoneal infection, and the definitive advantages still need to be verified.

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Title: Which style of duodenojejunostomy is better after resection of distal duodenum
Authors: Wenshuai Liu
Jiongyuan Wang
Lijie Ma
Aobo Zhuang
Jing Xu
Junyi He
Hua Yang
Yuan Fang
Weiqi Lu
Yong Zhang
Hanxing Tong
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Liposarcoma
Duodenum Resection
Sarcoma
Gastrointestinal Stromal Tumor
Duodenum Resection
Published in: BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-022-01850-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Which style of duodenojejunostomy is better after resection of distal duodenum

Abstract

Background

Patients and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Patients and methods

Results

Conclusions

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