Outcomes of Non-Operative Treatment for Duodenal Stump Leakage after Gastrectomy in Patients with Gastric Cancer.
- Author:
Bandar Idrees ALI
1
;
Cho Hyun PARK
;
Kyo Young SONG
Author Information
- Publication Type:Original Article
- Keywords: Duodenal stump leakage; Non-operative treatment; Tube duodenostomy; Gastrectomy; Stomach neoplasms
- MeSH: Catheters; Duodenostomy; Gastrectomy*; Humans; Length of Stay; Sepsis; Stomach Neoplasms*
- From:Journal of Gastric Cancer 2016;16(1):28-33
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: We evaluated the clinical outcomes of the non-operative management of post-gastrectomy duodenal stump leakage in patients with gastric cancer. MATERIALS AND METHODS: A total of 1,230 patients underwent gastrectomy at our institution between 2010 and 2014. Duodenal stump leakage was diagnosed in 19 patients (1.5%), and these patients were included in this study. The management options varied with patient condition; patients were managed conservatively, with a pigtail catheter drain, or by tube duodenostomy via a Foley catheter. The patients' clinical outcomes were analyzed. RESULTS: Duodenal stump leakage was diagnosed in all 19 patients within a median of 10 days (range, 1~20 days). The conservative group comprised of 5 patients (26.3%), the pigtail catheter group of 11 patients (57.9%), and the Foley catheter group of 3 patients (15.8%). All 3 management modalities were successful; none of the patients needed further operative intervention. The median hospital stay was 18, 33, and 42 days, respectively. CONCLUSIONS: Non-operative management of duodenal stump leakage for selected groups of patients with gastric cancer was effective for control of intra-abdominal sepsis. This management modality can help obviate the need for surgical intervention.
