[Usefulness of the retrograde intraduodenal drainage tube for severe duodenum-related complications of gastrectomy for gastric cancer].

Abstract

No ideal or generally accepted treatment strategy has been established for severe duodenum-related complications of gastrectomy for gastric cancer. Between 1997 and 2012, we successfully treated 5 patients with such complications using the retrograde intraduodenal drainage tube. Of the patients, 3 had anastomotic leakage of the duodenal stump, 1 had an intestinal injury, and 1 had the afferent loop syndrome. None of the patients experienced any further adverse events related to the procedure. This retrograde intraduodenal drainage technique was safe and effective, and may be considered as an optimal treatment strategy for severe duodenum-related complications of gastrectomy for gastric cancer.

• Authors: Takuma Ohashi, Shuhei Komatsu, Daisuke Ichikawa, Takeshi Kubota, Kazuma Okamoto, Hirotaka Konishi, Ryo Morimura, Yasutoshi Murayama, Atsushi Shiozaki, Yoshiaki Kuriu, Hishashi Ikoma, Masayoshi Nakanishi, Hitoshi Fujiwara, Chohei Sakakura, Eigo Otsuji
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 41 Issue 12 Pg. 1551-3 (Nov 2014) ISSN: 0385-0684 [Print] Japan
• PMID: 25731249 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Aged
• Aged, 80 and over
• Drainage (methods)
• Female
• Gastrectomy (adverse effects)
• Humans
• Male
• Middle Aged
• Postoperative Complications (therapy)
• Stomach Neoplasms (surgery)