지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.3
- 수록면
- 28 - 33 (6page)
- DOI
- http://dx.doi.org/10.5230/jgc.2016.16.1.28
이용수
초록· 키워드
오류제보하기
Purpose: We evaluated the clinical outcomes of the non-operative management of post-gastrectomy duodenal stump leakage in patients with gastric cancer.
Materials and Methods: A total of 1,230 patients underwent gastrectomy at our institution between 2010 and 2014. Duodenal stump leakage was diagnosed in 19 patients (1.5%), and these patients were included in this study. The management options varied with patient condition; patients were managed conservatively, with a pigtail catheter drain, or by tube duodenostomy via a Foley catheter. The patients’ clinical outcomes were analyzed.
Results: Duodenal stump leakage was diagnosed in all 19 patients within a median of 10 days (range, 1~20 days). The conservative group comprised of 5 patients (26.3%), the pigtail catheter group of 11 patients (57.9%), and the Foley catheter group of 3 patients (15.8%). All 3 management modalities were successful; none of the patients needed further operative intervention. The median hospital stay was 18, 33, and 42 days, respectively.
Conclusions: Non-operative management of duodenal stump leakage for selected groups of patients with gastric cancer was effective for control of intra-abdominal sepsis. This management modality can help obviate the need for surgical intervention.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Strong VE / 2010 / Comparison of gastric cancer survival following R0 resection in the United States and Korea using an internationally validated nomogram / Ann Surg 251:640~646
Golub R / 1997 / A multivariate analysis of factors contributing to leakage of intestinal anastomoses / J Am Coll Surg 184:364~372
허훈 / 2010 / Management of Anastomotic Leakage after Gastrointestinal SurgeryUsing Fluoroscopy-guided Foley Catheter / 대한외과학회지 78(3):165~170
Li J / 2003 / Management of enterocutaneous fistulas : 30-year clinical experience / Chin Med J(Engl) 116:171~175
Tøttrup A / 2010 / Foley catheter enterostomy for postoperative bowel perforation : an effective source control / World J Surg 34:2752~2754
Golub R / 1997 / A multivariate analysis of factors contributing to leakage of intestinal anastomoses / J Am Coll Surg 184:364~372
허훈 / 2010 / Management of Anastomotic Leakage after Gastrointestinal SurgeryUsing Fluoroscopy-guided Foley Catheter / 대한외과학회지 78(3):165~170
Li J / 2003 / Management of enterocutaneous fistulas : 30-year clinical experience / Chin Med J(Engl) 116:171~175
Tøttrup A / 2010 / Foley catheter enterostomy for postoperative bowel perforation : an effective source control / World J Surg 34:2752~2754
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