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Comparative Study
. 2017 Aug;21(8):1220-1225.
doi: 10.1007/s11605-017-3387-0. Epub 2017 Feb 21.

Laparoscopic Gastrojejunostomy for Patients with Unresectable Gastric Cancer with Gastric Outlet Obstruction

Toshiyasu Ojima  1 , Mikihito Nakamori  1 , Masaki Nakamura  1 , Masahiro Katsuda  1 , Keiji Hayata  1 , Hiroki Yamaue  2
Affiliations
Comparative Study

Laparoscopic Gastrojejunostomy for Patients with Unresectable Gastric Cancer with Gastric Outlet Obstruction

Toshiyasu Ojima et al. J Gastrointest Surg. 2017 Aug.

Abstract

Background: There have been no comparative studies of open gastrojejunostomy (OGJ) and laparoscopic gastrojejunostomy (LGJ) in gastric cancer (GC) patients with gastric outlet obstruction (GOO) to explore both short- and long-term outcomes. The aim of this study was to compare the safety and feasibility of short-term oral intake as well as the long-term oncological outcome of OGJ and LGJ.

Methods: This was a retrospective study of 53 consecutive unresectable GC patients who underwent GJ for GOO in our institute. OGJ (n = 23) was performed between 2010 and 2012 and LGJ (n = 30) was performed between 2013 and 2015.

Results: We found a higher rate of postoperative delayed gastric emptying in the OGJ group than in the LGJ group (26.1 vs 0%; P = 0.004). OGJ had more unfavorable results regarding the median time to resumption of oral feeding (4 vs 2 days; P < 0.001). Palliative LGJ did not offer survival benefit over OGJ in patients with unresectable GC with GOO.

Conclusion: LGJ is a useful and feasible alternative to OGJ regarding short-term outcomes.

Keywords: Gastric cancer; Gastric outlet obstruction; Laparoscopic gastrojejunostomy; Palliative surgery.

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