Partial stomach-partitioning gastrojejunostomy and the success of this procedure in terms of palliation.
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| Abstract | BACKGROUND: In the 1990s, partial stomach-partitioning gastrojejunostomy (PSPG) was introduced. Benefits of this method are that it preferentially shunts food away from the obstructed duodenum or pylorus, thus reducing reflex emesis. METHODS: A retrospective review of patients undergoing PSPG for malignant obstruction from 1999 to 2011 was performed. Ability to tolerate oral intake in the postoperative period and at last follow-up was the criterion for a successful bypass. RESULTS: Fifty-five patients with locally advanced or metastatic tumors underwent PSPG. The median follow-up period was 8 months. No patient developed signs of gastric outlet obstruction after PSPG. Seventy-five percent of patients had pancreatic or duodenal and 25% had nonpancreatic cancers. Nine patients developed postoperative complications. The perioperative mortality rate was zero. Median overall survival was 9 months. All patients were tolerating an enteral diet on the day of discharge, and as of the last follow-up, 95% were tolerating their enteral diets. CONCLUSIONS: This and a previous study from the authors' institution show that PSPG is a good alternative for palliative bypass in the setting of malignant gastric outlet obstruction over classic gastrojejunostomy.
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| Authors | Rodrigo Arrangoiz, Pavlos Papavasiliou, Smit Singla, Veeraiah Siripurapu, Tianyu Li, James C Watson, John P Hoffman, Jeffrey M Farma |
| Journal | American journal of surgery (Am J Surg) Vol. 206 Issue 3 Pg. 333-9 (Sep 2013) ISSN: 1879-1883 [Electronic] United States |
| PMID | 23706260 (Publication Type: Journal Article) |
| Copyright | Copyright © 2013 Elsevier Inc. All rights reserved. |
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