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Laparoscopic Gastrojejunostomy for Patients with Unresectable Gastric Cancer with Gastric Outlet Obstruction

  • Original Article
  • Published:
Journal of Gastrointestinal Surgery Aims and scope

Abstract

Background

There have been no comparative studies of open gastrojejunostomy (OGJ) and laparoscopic gastrojejunostomy (LGJ) in gastric cancer (GC) patients with gastric outlet obstruction (GOO) to explore both short- and long-term outcomes. The aim of this study was to compare the safety and feasibility of short-term oral intake as well as the long-term oncological outcome of OGJ and LGJ.

Methods

This was a retrospective study of 53 consecutive unresectable GC patients who underwent GJ for GOO in our institute. OGJ (n = 23) was performed between 2010 and 2012 and LGJ (n = 30) was performed between 2013 and 2015.

Results

We found a higher rate of postoperative delayed gastric emptying in the OGJ group than in the LGJ group (26.1 vs 0%; P = 0.004). OGJ had more unfavorable results regarding the median time to resumption of oral feeding (4 vs 2 days; P < 0.001). Palliative LGJ did not offer survival benefit over OGJ in patients with unresectable GC with GOO.

Conclusion

LGJ is a useful and feasible alternative to OGJ regarding short-term outcomes.

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Authors’ Contributions

Study concept and design: Ojima and Yamaue. Acquisition of data: Ojima, Nakamori, and Nakamura. Analysis and interpretation of data: Ojima, Nakamura, and Nakamori. Drafting of the manuscript: Ojima, Nakamura, and Katsuda. Critical revision of the manuscript for important intellectual content: Yamaue. Statistical analysis: Ojima, Hayata, and Yamaue. Administrative, technical and material support: Nakamura, Katsuda, Hayata, and Yamaue. Study supervision: Yamaue.

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Authors and Affiliations

  1. Second Department of Surgery, School of Medicine, Wakayama Medical University, 811-1, Kimiidera, Wakayama, 641-8510, Japan

    Toshiyasu Ojima, Mikihito Nakamori, Masaki Nakamura, Masahiro Katsuda, Keiji Hayata & Hiroki Yamaue

Authors
  1. Toshiyasu Ojima
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  2. Mikihito Nakamori
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  3. Masaki Nakamura
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  4. Masahiro Katsuda
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  5. Keiji Hayata
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  6. Hiroki Yamaue
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Corresponding author

Correspondence to Hiroki Yamaue.

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Ojima, T., Nakamori, M., Nakamura, M. et al. Laparoscopic Gastrojejunostomy for Patients with Unresectable Gastric Cancer with Gastric Outlet Obstruction. J Gastrointest Surg 21, 1220–1225 (2017). https://doi.org/10.1007/s11605-017-3387-0

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  • DOI: https://doi.org/10.1007/s11605-017-3387-0

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