title: [Partial stomach partitioning gastrojejunostomy in the treatment of the malignant gastric outlet obstruction].
abstract: BACKGROUND
  In patients with unresectable gastric cancer and outlet obstruction syndrome, gastric partitioning gastrojejunostomy is an alternative, which could avoid the drawbacks of the standard techniques.
  
  
  OBJECTIVE
  Comparison of antroduodenal stent, conventional gastrojejunostomy and gastric partitioning gastrojejunostomy.
  
  
  METHODS
  A retrospective, cross-sectional study was conducted on patients with unresectable distal gastric cancer and gastric outlet obstruction, treated with the three different techniques over the last 12 years, comparing results based on oral tolerance and complications. An analysis was performed on the results using the Student-t test for independent variables.
  
  
  RESULTS
  The 22 patients were divided in 3 groups: group I (6 cases) stent, group II (9 cases) conventional gastrojejunostomy, and group III (7 cases) gastric partitioning gastrojejunostomy, respectively. The stent allows a shorter "postoperative" stay and early onset of oral tolerance (P<0.05), however, the gastric partitioning gastrojejunostomy achieve normal diet at 15th day (P<0.05). The mortality rate was higher in the stent group (33%) compared with surgical techniques, with a morbidity of 4/6 (66.7%) in Group I, 6/9 (66.7%) Group II, and 3/7 (42%) Group III. Re-interventions: 2/6 Group I, 3/9 Group II, and 0/7 Group III. The median survival was superior in the gastric partitioning gastrojejunostomy, achieving an overall survival of 6.5 months.
  
  
  CONCLUSIONS
  The gastric partitioning gastrojejunostomy for treatment of gastric outlet obstruction in unresectable advanced gastric cancer is a safe technique, allowing a more complete diet with lower morbidity and improved survival.
authors.affiliation: Unidad de Patología Esófago Gástrica, Servicio de Cirugía General y del Aparato Digestivo, Complejo Asistencial Universitario de Salamanca, Salamanca, Castilla y León, España. Electronic address: omarabdellah@gmail.com.
authors.forename: Omar
authors.initials: O
authors.lastname: Abdel-lah-Fernández
authors.affiliation: Unidad de Patología Esófago Gástrica, Servicio de Cirugía General y del Aparato Digestivo, Complejo Asistencial Universitario de Salamanca, Salamanca, Castilla y León, España.
authors.forename: Felipe Carlos
authors.initials: FC
authors.lastname: Parreño-Manchado
authors.affiliation: Unidad de Patología Esófago Gástrica, Servicio de Cirugía General y del Aparato Digestivo, Complejo Asistencial Universitario de Salamanca, Salamanca, Castilla y León, España.
authors.forename: Asunción
authors.initials: A
authors.lastname: García-Plaza
authors.affiliation: Unidad de Endoscopia, Servicio del Aparato Digestivo, Complejo Asistencial Universitario de Salamanca, Salamanca, Castilla y León, España.
authors.forename: Alberto
authors.initials: A
authors.lastname: Álvarez-Delgado
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D004750:Enteral Nutrition; D005260:Female; D015390:Gastric Bypass / Q000379:methods*; D017219:Gastric Outlet Obstruction / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D010166:Palliative Care / Q000379:methods; D011182:Postoperative Care; D011183:Postoperative Complications / Q000453:epidemiology; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D015607:Stents; D013270:Stomach / Q000601:surgery*; D013274:Stomach Neoplasms / Q000150:complications*; D016019:Survival Analysis
keywords: Cáncer gástrico irresecable; Gastro yeyuno anastomosis; Gastrojejunostomy; Malignant gastric outlet obstruction; Obstrucción gástrica maligna; Unresectable gastric cancer