Safety of modified double‐stapling end‐to‐end gastroduodenostomy in distal subtotal gastrectomy

Yang, Han‐Kwang; Lee, Hyuk‐Joon; Ahn, Hye-Sung; Yoo, Moon‐Won; Lee, In Kyu; Lee, Kuhn Uk

doi:10.1002/jso.20883

Cited by 24 publications

(20 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our method is similar to this one; however, we perform anastomosis without any gastrostomy in the remaining stomach by applying the ‘double-stapling end-to-end gastroduodenostomy’ which we previously reported as a technique for distal gastrectomy [12]. The double-stapling method was found to be a fast and safe technique in our experience, and similar results were expected after proximal gastrectomy.…”

Section: Introductionsupporting

confidence: 53%

“…Our method is similar to this one, but we applied the double-stapling method that we previously reported for distal gastrectomy and Billroth-I anastomosis [12]. With this method, we could reduce the number of staplers and eliminate the need and concern for gastrostomy performed during other methods in the remaining distal stomach for the insertion of a circular stapler instrument.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Reverse Double-Stapling End-to-End Esophagogastrostomy in Proximal Gastrectomy

Suh¹,

Kim²,

Lee³

et al. 2010

Dig Surg

Self Cite

View full text Add to dashboard Cite

Background: Proximal gastrectomy is a surgical option for proximally located early gastric cancer. We present a new double-stapling method for proximal gastrectomy and esophagogastrostomy. Methods: We examined the safety of proximal gastrectomy by analyzing the lymph node metastasis rate in 53 patients who underwent total gastrectomy due to proximally located early gastric cancer from January 2004 to December 2008. We applied the double-stapling method used in distal gastrectomy reversely to proximal gastrectomy and esophagogastrostomy in 15 patients. Results: Retrospective analysis showed that proximal early gastric cancer metastasizes to only lymph node station 2, 3 and 7 which were completely removed during proximal gastrectomy. Fifteen patients underwent proximal gastrectomy using a new method which left no gastrostomy wound for the insertion of a circular stapler in the remaining stomach. The median operation time was 156.5 min and median postoperative hospital stay was 8.0 days. There were only 2 cases of wound complications during hospital stay. Two cases of anastomosis site strictures which developed after discharge were successfully treated with balloon dilatation. Conclusion: We presented a new ‘reverse double-stapling method’ for proximal gastrectomy, which seems to be a fast and feasible method that leaves no gastrostomy wound in the remaining stomach.

show abstract

Section: Introductionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Reverse Double-Stapling End-to-End Esophagogastrostomy in Proximal Gastrectomy

Suh¹,

Kim²,

Lee³

et al. 2010

Dig Surg

Self Cite

View full text Add to dashboard Cite

show abstract

“…Compared with leakage and stricture, anastomotic hemorrhage is rare and usually self-limited [1][2][3][4][5][6][7][8][9]. However, massive bleeding is lethal if not treated imme-…”

Section: Introductionmentioning

confidence: 99%

Early postoperative anastomotic hemorrhage after gastrectomy for gastric cancer

et al. 2010

View full text Add to dashboard Cite

“…However, the Roux-en-Y method is relatively complicated and lengthy. Therefore, we have devised a simple, safe reconstruction: the Roux-en-Y gastrojejunostomy using modified hemi-double stapling [4]. The details of the technique and short-term results are described here.…”

Section: Introductionmentioning

confidence: 99%

Roux-en-Y Gastrojejunostomy Using Modified Hemi-Double Stapling

Kim¹,

Jeon²,

Kim³

et al. 2009

Dig Surg

View full text Add to dashboard Cite

For reconstruction after distal gastrectomy, the Roux-en-Y gastrojejunostomy is superior to the Billroth II gastrojejunostomy in terms of bile reflux. Roux-en-Y gastrojejunostomy prevents reflux gastritis, esophagitis, and carcinogenesis of the gastric remnant. However, the Roux-en-Y gastrojejunostomy is relatively complicated and lengthy. The authors perform a simple, safe Roux-en-Y gastrojejunostomy using modified hemi-double stapling. We applied this technique to 42 patients with gastric cancer. The average operating and reconstruction times were 172.6 ± 42.0 and 26.2 ± 4.8 min, respectively. The postoperative courses were uneventful and the patients were discharged 11.2 ± 2.4 days postoperatively. Neither leakage nor bleeding from the gastrojejunostomy has occurred postoperatively. The postoperative follow-up was 7–24 months and no local recurrence or stricture at the gastrojejunostomy site occurred. Roux-en-Y gastrojejunostomy using the modified hemi-double stapling technique can achieve reconstruction more simply, safely and quickly, and may provide an alternative reconstruction method for distal gastrectomy.

show abstract

Safety of modified double‐stapling end‐to‐end gastroduodenostomy in distal subtotal gastrectomy

Abstract: Modified DS-BI is a safe procedure, with short-term results similar to those of hand-sewn Billroth II anastomosis.

Cited by 24 publications

References 14 publications

Reverse Double-Stapling End-to-End Esophagogastrostomy in Proximal Gastrectomy

Reverse Double-Stapling End-to-End Esophagogastrostomy in Proximal Gastrectomy

Early postoperative anastomotic hemorrhage after gastrectomy for gastric cancer

Roux-en-Y Gastrojejunostomy Using Modified Hemi-Double Stapling

Contact Info

Product

Resources

About