The Surgical Treatment of Malignant Bowel Obstruction Caused by Recurrent Gastric Cancer.
10.5230/jkgca.2008.8.3.148
- Author:
Byung Eun YOO
1
;
Joong Min PARK
;
You Jin JANG
;
Jong Han KIM
;
Sung Soo PARK
;
Seong Heum PARK
;
Seong Ju KIM
;
Young Jae MOK
;
Chong Suk KIM
Author Information
1. Department of Surgery, Korea University College of Medicine, Seoul, Korea. chongsuk@korea.ac.kr
- Publication Type:Original Article
- Keywords:
Recurrent gastric cancer;
Malignant bowel obstruction;
Surgical treatment
- MeSH:
Diet;
Humans;
Length of Stay;
Ostomy;
Stomach Neoplasms
- From:Journal of the Korean Gastric Cancer Association
2008;8(3):148-153
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Malignant bowel obstruction caused by recurrent gastric cancer must be treated appropriately to improve the effects of treatment and to prolong survival. We reviewed the surgical treatments for malignant bowel obstruction caused by recurrent gastric cancer. MATERIALS AND METHODS: The subjects were patients with malignant bowel obstruction caused by recurrent gastric cancer and these patients were treated by surgical procedures at our hospital from 1998 to 2008. The patients were treated by resection, ostomy or bypass. The success of treatment was decided when the patients were able to tolerate more than a liquid diet. RESULTS: 42 patients were treated 46 times by surgical procedures. Resection was done12 times, ostomy was done 24 times and bypass was done 10 times. The hospital stay and the period to liquid diet after the operation were shorter in the ostomy group. The post operative morbidity rate was 21.7% and the post operative death rate was 8.7%. There was no significant difference in survival according to the type of surgery. CONCLUSION: Ostomy is good choice for selected patients because it has a shorter hospital stay and period to liquid diet. There was no significant difference in survival according to the type of surgery because curative resection is difficult to perform in patients with malignant bowel obstruction.
