title: [Usefulness of Palliative Gastrojejunal Bypass Surgery].
abstract: OBJECTIVE
  The aim of this study was to evaluate the usefulness of gastrojejunal bypass surgery performed in patients presenting with upper gastrointestinal tract obstruction due to unresectable advanced cancer.
  
  
  METHODS
  The subjects were 21 patients who underwent gastrojejunal bypass surgery at our division between 2010 and 2014 for symptom palliation. We retrospectively evaluated the operative outcomes, whether chemotherapy was administered, the oral ingestion period, and survival time.
  
  
  RESULTS
  The median postoperative day of starting oral ingestion was 6 (range: 2-42), and the median period from decreased oral ingestion to death was 4 (range: 0-26) days. Twelve patients (57%) were discharged. Postoperative chemotherapy was prescribed to all the 9 patients who desired treatment. The median duration of oral digestion time was 61 days, and the median overall survival time was 92 days.
  
  
  CONCLUSIONS
  Gastrojejunal bypass surgery is found to have the potential to not only make relatively long-term oral ingestion possible, but also broaden available treatment options, such as home care or chemotherapy, thereby contributing to improved quality of life.
authors.affiliation: Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences.
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Hashimoto
authors.forename: Satoshi
authors.initials: S
authors.lastname: Suzuki
authors.forename: Kouei
authors.initials: K
authors.lastname: Nihei
authors.forename: Masahiro
authors.initials: M
authors.lastname: Ohtaki
authors.forename: Kaoru
authors.initials: K
authors.lastname: Sakamoto
authors.forename: Ryoma
authors.initials: R
authors.lastname: Yagi
authors.forename: Tsubasa
authors.initials: T
authors.lastname: Shironomae
authors.forename: Yu
authors.initials: Y
authors.lastname: Nagai
authors.forename: Takeshi
authors.initials: T
authors.lastname: Mishina
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kameyama
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ichikawa
authors.forename: Kumiko
authors.initials: K
authors.lastname: Tatsuda
authors.forename: Takashi
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Kosugi
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Wakai
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015390:Gastric Bypass; D017219:Gastric Outlet Obstruction / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000601:surgery; D011788:Quality of Life; D013274:Stomach Neoplasms / Q000150:complications* / Q000601:surgery; D016896:Treatment Outcome