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01-06-2015 | Original Article

The Added Value of Partial Stomach-partitioning to a Conventional Gastrojejunostomy in the Treatment of Gastric Outlet Obstruction

Authors: Annika Ernberg, Koshi Kumagai, Apostolos Analatos, Ioannis Rouvelas, Fredrik Swahn, Mats Lindblad, Lars Lundell, Magnus Nilsson, Jon A. Tsai

Published in: Journal of Gastrointestinal Surgery | Issue 6/2015

Abstract

Introduction

Poor results have been reported after conventional gastrojejunostomy (CGJ) as palliative surgical bypass treatment of gastric outlet obstruction (GOO). Partial stomach-partitioning gastrojejunostomy (PSPGJ) has been introduced as an alternative surgical treatment of GOO to reduce the risk of postoperative delayed gastric emptying (DGE).

Aim

The aim was to study PSPGJ as an alternative to CGJ in the treatment of GOO, with respect to DGE.

Patients and Methods

A retrospective cohort study was completed in all patients who underwent a bypass of the duodenum via PSPGJ or CGJ due to GOO. Cases where concomitant biliary or bariatric procedures were performed were excluded.

Results

Twenty-four patients met the inclusion criteria for the study; ten cases underwent PSPGJ and 14 CGJ. The incidence of DGE grade B-C was significantly lower in the PSPGJ group (0 %) compared with the CGJ group (42.9 %, p = 0.024). Oral nutrition only was recorded more often at follow-up in the PSPGJ group (9/9, 100 %) than in the CGJ group (4/13, 30.8 %) (p = 0.002).

Conclusion

PSPGJ seems to be followed by a lower rate of DGE compared to CGJ.

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Title: The Added Value of Partial Stomach-partitioning to a Conventional Gastrojejunostomy in the Treatment of Gastric Outlet Obstruction
Authors: Annika Ernberg
Koshi Kumagai
Apostolos Analatos
Ioannis Rouvelas
Fredrik Swahn
Mats Lindblad
Lars Lundell
Magnus Nilsson
Jon A. Tsai
Publication date: 01-06-2015
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 6/2015
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-015-2781-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The Added Value of Partial Stomach-partitioning to a Conventional Gastrojejunostomy in the Treatment of Gastric Outlet Obstruction

Abstract

Introduction

Aim

Patients and Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Aim

Patients and Methods

Results

Conclusion

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