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Titolo:
Factors influencing the development of small intestinal obstruction following total gastrectomy for gastric cancer: The impact of reconstructive route in the Roux-en-Y procedure
Autore:
Korenaga, D; Yasuda, M; Takesue, F; Honda, M; Inutsuka, S; Nagahama, S; Maekawa, S;
Indirizzi:
Fukuoka Dent Coll Hosp, Dept Gen Surg, Sawara Ku, Fukuoka 8140193, Japan Fukuoka Dent Coll Hosp Fukuoka Japan 8140193 Ku, Fukuoka 8140193, Japan Fukuoka City Hosp, Dept Surg, Fukuoka, Japan Fukuoka City Hosp Fukuoka Japan ka City Hosp, Dept Surg, Fukuoka, Japan
Titolo Testata:
HEPATO-GASTROENTEROLOGY
fascicolo: 41, volume: 48, anno: 2001,
pagine: 1389 - 1392
SICI:
0172-6390(200109/10)48:41<1389:FITDOS>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARCINOMA; STOMACH;
Keywords:
gastric cancer; ileus; complication;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Korenaga, D Fukuoka Dent Coll Hosp, Dept Gen Surg, Sawara Ku, Tamura 2-15-1, Fukuoka 8140193, Japan Fukuoka Dent Coll Hosp Tamura 2-15-1 Fukuoka Japan 8140193 an
Citazione:
D. Korenaga et al., "Factors influencing the development of small intestinal obstruction following total gastrectomy for gastric cancer: The impact of reconstructive route in the Roux-en-Y procedure", HEP-GASTRO, 48(41), 2001, pp. 1389-1392

Abstract

Background/Aims: The factors influencing the development of small intestinal obstruction following gastric surgery are controversial. Methodology: Univariate and multivariate analyses were carried out on datafrom 48 patients with gastric cancer who underwent total gastrectomy and Roux-en-Y reconstruction for a potential cure. Results: Of these 48 patients, 11 (22.9%) presented with mechanical obstruction in the small intestine postoperatively. There were no statistically significant differences with regard to age, sex, and the presenting pathology. The development of obstruction was not related to a longer operation time, a greater estimated blood loss during surgery, an extensive lymph node dissection and a combined resection of adjacent organs. The probability thatthe antecolic anastomosis would cause obstruction was significant when compared with findings in case of the retrocolic anastomosis (P < 0.05). In the multivariate logistic regression analysis, the significant risk factors related to the development of small intestinal obstruction proved to be reconstructive route of jejunal loop. Conclusions: In potentially curative patients undergoing total gastrectomy, retrocolic anastomosis should be attempted to prevent the development of postoperative intestinal obstruction.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 08:39:00