Back to Search
Start Over
Surgical management of duodenal stump fistula after elective gastrectomy for malignancy: an Italian retrospective multicenter study
- Source :
- Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association. 19(1)
- Publication Year :
- 2014
-
Abstract
- Background: Duodenal stump fistula (DSF) is a severe complication of gastrectomy. Although nonsurgical therapy is preferred, surgery is still mandatory in one third of DSF patients. The aim of this article is to analyze the surgical management of DSF and factors related to its outcome. Methods: We performed a retrospective multicenter study using data from January 1990 to November 2011 in 16 Italian surgery centers. We collected 8,268 elective gastrectomies for malignancies, 7,987 by the laparotomic and 281 by the laparoscopic approach. Two hundred five patients developed a DSF, 75 of whom underwent surgery for DSF. We analyzed mortality and DSF healing time as well as the impact of clinical, oncological, and surgical characteristics. Results: The laparoscopic approach increased the risk of DSF development (odds ratio 5.6, 95% confidence interval 2.7–10.6, P&nbsp
- Subjects :
- Male
Cancer Research
medicine.medical_specialty
Complications
Settore MED/18 - CHIRURGIA GENERALE
medicine.medical_treatment
Duodenal stump fistula
Malignancy
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
Surgical oncology
Interquartile range
Gastrectomy
Stomach Neoplasms
medicine
MED/18 - CHIRURGIA GENERALE
Intestinal Fistula
Humans
Duodenal Diseases
Aged
Retrospective Studies
Surgery
Laparotomy
Vascular disease
business.industry
General surgery
Mortality rate
Gastroenterology
General Medicine
Odds ratio
Middle Aged
medicine.disease
Prognosis
Gastrectomy Complications Duodenal stump fistula Surgery
Treatment Outcome
Oncology
Italy
Elective Surgical Procedures
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Female
Laparoscopy
business
Complication
Abdominal surgery
Subjects
Details
- ISSN :
- 14363305
- Volume :
- 19
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association
- Accession number :
- edsair.doi.dedup.....64b8ca08b03484c43b3f48ef26f189c6