Postoperative complications requiring relaparotomies after 700 gastrectomies performed for gastric cancer

Shchepotin, I.; Evans, Stephen; Chorny, Vyacheslav A.; Shabahang, Mohsen; Buras, R.; Nauta, Russell J.

doi:10.1016/s0002-9610(97)89567-0

Cited by 38 publications

(22 citation statements)

References 14 publications

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“…Acute postoperative pancreatic was found in four cases (3.25%), which supported literature data that it was a relatively rare complication (16,18,(21)(22)(23)(24) (20). In all reported cases, AP after gastric resection procedures was severe and was related to pancreatic necrosis and abscesses, requiring repeated surgical intervention (in one patient -multiple interventions), which also supported literature data (16,25).…”

Section: Discussionsupporting

confidence: 82%

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Acute Pancreatitis as an Early Complication after Gastric Resection

Merenda

Janczak

Cianciara

et al. 2010

Polish Journal of Surgery

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Section: Discussionsupporting

confidence: 82%

“…Acute postoperative pancreatitis (APP) is one of the most serious through recently reported only rarely, complications of gastric resection procedures (16,17,18). Incidence of acute postoperative pancreatitis after gastric surgery is currently difficult to estimate.…”

mentioning

confidence: 99%

Acute Pancreatitis as an Early Complication after Gastric Resection

Merenda

Janczak

Cianciara

et al. 2010

Polish Journal of Surgery

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“…Although some authors have suggested that esophagojejunal dehiscence with intra-abdominal abscess and the need for reoperation are factors that significantly increased mortality rates [21], all our patients recovered well with this management, without any mortality. Large reviews suggest that outcomes in patients with leaks at the esophagojejunostomy are better if they are managed with conservative percutaneous drainage; however the studies providing these data did not control for the severity of disease and no randomized controlled studies have examined this issue [22].…”

Section: Discussionmentioning

confidence: 56%

Morbidity, mortality, and pathological response in patients with gastric cancer preoperatively treated with chemotherapy or chemoradiotherapy

Valentí

Hernández-Lizoain

Beorlegui

et al. 2011

Journal of Surgical Oncology

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“…In the past, most major complications after gastrectomy required re-operation, with an incidence ranging from 2.8% to 10%. [1][2][3] Among postgastrectomy complications, DSL is a potentially life-threatening complication with a high morbidity, a prolonged hospital stay, and an overall mortality rate of about 20% as a result of sepsis and multi-organ failure. 5 If DSL is diagnosed after subtotal or total gastrectomy, aggressive management should be initiated immediately, including drainage, oral intake restriction, intravenous fluid administration, and antibiotic therapy.…”

Section: Discussionmentioning

confidence: 99%

Role of Percutaneous Transhepatic Biliary Drainage in Patients With Complications After Gastrectomy

Kim

Lee

Kim

et al. 2016

International Surgery

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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.Key words: Gastrectomy -PTBD -Duodenal stump leakage -Afferent loop syndrome P ostoperative complications after gastrectomy are difficult for both patients and surgeons. In the past, most of the major complications after gastrectomy required re-operation. The rate of reoperation for these complications ranges from 2.8% to 10%. 1-3 After gastrectomy, duodenal stump leak-

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Postoperative complications requiring relaparotomies after 700 gastrectomies performed for gastric cancer

Cited by 38 publications

References 14 publications

Acute Pancreatitis as an Early Complication after Gastric Resection

Acute Pancreatitis as an Early Complication after Gastric Resection

Morbidity, mortality, and pathological response in patients with gastric cancer preoperatively treated with chemotherapy or chemoradiotherapy

Role of Percutaneous Transhepatic Biliary Drainage in Patients With Complications After Gastrectomy

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