Comparison of End-to-side and End-to-end Anastomosis in Circular Stapled Gastroduodenostomy.
10.5230/jkgca.2009.9.2.57
- Author:
Min Woo SEO
1
;
Yong Jin KIM
;
Dan SONG
;
Gil Ho KANG
;
Gyu Seok CHO
;
Moon Soo LEE
;
Kyung Yul HUR
;
Jae Joon KIM
Author Information
1. Department of Surgery, Soonchunhyang University School of Medicine, Seoul, Korea. yjkim@hosp.sch.ac.kr
- Publication Type:Original Article ; Comparative Study
- Keywords:
Gastroduodenostomy;
Complication;
End-to-side anastomosis;
End-to-end anastomosis
- MeSH:
Constriction, Pathologic;
Gastrectomy;
Hemorrhage;
Humans;
Prospective Studies;
Stomach Neoplasms
- From:Journal of the Korean Gastric Cancer Association
2009;9(2):57-62
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The use of automatic circular staplers for gastroduodenostomy after distal gastrectomy is now widely accepted. We compared the clinical outcomes of two different methods. MATERIALS AND METHODS: Between March 2005 and February 2008, 134 patients with gastric cancer underwent distal gastrectomies. Seventy-six consecutive patients received end-to-side gastroduodenostomies (ES) between March 2005 and September 2006. The remaining 58 consecutive patients received end-to-end gastroduodenostomies (EE) between November 2006 and February 2008. We analyzed the surgical outcomes between the two groups (ES versus EE) on the basis of prospectively collected data. RESULTS: Among the clinical factors, there were no differences between the two groups. The overall complication rates were 19.7% in the ES group and 13.8% in the EE group (P=0.489). With respect to anastomosis-related complications, 2 cases had bleeding and 2 cases had stenoses in the ES group, while 2 cases in the EE group had bleeding. Re-operation was needed in the case of intraluminal bleeding in the ES group. There were no mortalities in our study. CONCLUSION: The two methods for gastroduodenostomy were safe and technically feasible. Although there was no statistical difference in the overall complications, including anastomosis-related complications, we demonstrated better outcomes with respect to anastomotic stenosis in the EE group.
