[Usefulness of the retrograde intraduodenal drainage tube for severe duodenum-related complications of gastrectomy for gastric cancer].
No ideal or generally accepted treatment strategy has been established for severe duodenum-related complications of gastrectomy for gastric cancer. Between 1997 and 2012, we successfully treated 5 patients with such complications using the retrograde intraduodenal drainage tube. Of the patients, 3 had anastomotic leakage of the duodenal stump, 1 had an intestinal injury, and 1 had the afferent loop syndrome. None of the patients experienced any further adverse events related to the procedure. This retrograde intraduodenal drainage technique was safe and effective, and may be considered as an optimal treatment strategy for severe duodenum-related complications of gastrectomy for gastric cancer.
Dept. of Surgery, Division of Digestive Surgery, Kyoto Prefectural University of Medicine.
Takuma
T
Ohashi
Shuhei
S
Komatsu
Daisuke
D
Ichikawa
Takeshi
T
Kubota
Kazuma
K
Okamoto
Hirotaka
H
Konishi
Ryo
R
Morimura
Yasutoshi
Y
Murayama
Atsushi
A
Shiozaki
Yoshiaki
Y
Kuriu
Hishashi
H
Ikoma
Masayoshi
M
Nakanishi
Hitoshi
H
Fujiwara
Chohei
C
Sakakura
Eigo
E
Otsuji
D000368:Aged; D000369:Aged, 80 and over; D004322:Drainage / Q000379:methods; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D013274:Stomach Neoplasms / Q000601:surgery