title: Modified Devine Exclusion for Unresectable Distal Gastric Cancer in Symptomatic Patients.
abstract: BACKGROUND
  In patients with outlet obstruction syndrome and/or severe anemia secondary to unresectable gastric cancer (GC), partial stomach-partitioning gastrojejunostomy, or modified Devine exclusion, is a surgical alternative.
  
  
  METHODS
  A retrospective study was conducted on patients with unresectable distal GC treated with modified Devine exclusion as palliative surgery between February 2005 and December 2015. It consisted of a series of 10 patients with outlet obstruction syndrome and/or severe anemia. The outcomes of this technique were based on oral tolerance, blood transfusions, postoperative complications, and survival.
  
  
  RESULTS
  Early oral tolerance and a low rate of blood transfusions were observed postoperatively. There was no postoperative mortality and a very low complication rate without anastomotic leakage. Median survival was 9 months.
  
  
  CONCLUSIONS
  Partial stomach-partitioning gastrojejunostomy is a safe procedure for unresectable GC which can improve the quality of life of these patients.
authors.affiliation: Department of Surgery, Clinical University Hospital, Valencia, Spain.
authors.forename: María Carmen
authors.initials: MC
authors.lastname: Fernández-Moreno
authors.affiliation: Department of Surgery, Clinical University Hospital, Valencia, Spain.
authors.forename: Roberto
authors.initials: R
authors.lastname: Martí-Obiol
authors.affiliation: Department of Surgery, Clinical University Hospital, Valencia, Spain; Department of Surgery, University of Valencia, Valencia, Spain.
authors.forename: Fernando
authors.initials: F
authors.lastname: López
authors.affiliation: Department of Surgery, Clinical University Hospital, Valencia, Spain; Department of Surgery, University of Valencia, Valencia, Spain.
authors.forename: Joaquín
authors.initials: J
authors.lastname: Ortega
keywords: Gastric outlet obstruction; Gastroenterostomy; Palliative care; Stomach neoplasm