Stomach-partitioning versus conventional gastrojejunostomy for unresectable gastric cancer with gastric outlet obstruction: A propensity score matched cohort study - 22/02/24
Abstract |
Background |
Stomach partitioning gastrojejunostomy (SPGJ) was introduced to deal with delayed gastric emptying (DGE). This study aimed to compare the short- and long-term outcomes of SPGJ versus conventional gastrojejunostomy (CGJ).
Method |
This cohort study analyzed 108 patients who underwent gastrojejunostomy for unresectable gastric cancer: 70 patients underwent SPGJ, and 38 patients underwent CGJ between 2018 and 2022. Propensity score-matched (PSM) analysis was used to balance the baseline characteristics.
Results |
After PSM, there were 26 patients in each group. SPGJ group had significantly lower incidence of DGE (3.8% vs. 34.6%), vomiting (3.8% vs. 42.3%), and prokinetics requirement (11.5% vs. 46.2%). SPGJ group had significantly shorter time to solid diet tolerance (4.1 days vs. 5.7 days) and postoperative hospital stay (7.7 days vs. 9.3 days). There was no significant difference in relapse reinterventions, gastric outlet obstruction (GOO) recurrence, conversion surgery, and survival outcomes.
Conclusions |
SGPJ was associated with lower rate of DGE, prokinetics requirement, and shorter time of solid diet tolerance compared to CGJ in the treatment of unresectable gastric cancer patients with GOO.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Stomach partitioning gastrojejunostomy was better regarding vomiting rate, the use of prokinetics, and solid diet tolerance. |
• | Stomach partitioning gastrojejunostomy group showed a significantly lower rate of delayed gastric emptying. |
• | Overall postoperative complications were lower in the stomach partitioning gastrojejunostomy group. |
• | There were no differences regarding gastric outlet obstruction recurrence, conversion surgery, and overall survival. |
Keywords : Gastrojejunostomy, Delay gastric emptying, Gastric outlet obstruction, Stomach partitioning gastrojejunostomy
Plan
Vol 228
P. 206-212 - février 2024 Retour au numéro
Article précédent
- Validation of measures for perioperative urinary catheter use, urinary retention, and urinary catheter-related trauma in surgical patients
- Samantha Hendren, Jessica Ameling, Cheryl Rocker, Catherine Sulich, M. Todd Greene, Jennifer Meddings
- Effect of conditions being present at time of surgery (PATOS) on outcomes in liver surgery
- Faisal S. Jehan, Sangrag Ganguli, Areeba Saif, Niklas E. Hase, Paramita S. Nayak, Apoorve Nayyar, Hassan Aziz
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?