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. 1997 Feb;132(2):184-7.
doi: 10.1001/archsurg.1997.01430260082018.

Stomach-partitioning gastrojejunostomy for unresectable gastric carcinoma

M Kaminishi  1 , H Yamaguchi, N Shimizu, S Nomura, A Yoshikawa, M Hashimoto, S Sakai, T Oohara
Affiliations

Stomach-partitioning gastrojejunostomy for unresectable gastric carcinoma

M Kaminishi et al. Arch Surg. 1997 Feb.

Abstract

Objectives: To analyze the results of a new type of bypass procedure, stomach-partitioning gastrojejunostomy (SPGJ), for unresectable gastric carcinoma and to compare these results with those of conventional gastrojejunostomy (GJ).

Design: Retrospective review.

Setting: A university hospital in Japan.

Patients: Eight patients underwent SPGJ in 1 group, and 13 underwent conventional GJ in the other group. Staging was determined using preoperative diagnostic imagings and intraoperative findings.

Main outcome measures: Assessment of food intake and mean survival rates.

Results: There were no significant differences between the 2 groups regarding male-female ratio, mean age, and histological type of carcinoma. All patients had stage IV cancers according to the classification of the Union Internationale Contre le Cancer. The rates of taking a regular meal at 2 weeks after an operation were 88% in the SPGJ group and 31% in the GJ group (P < .05). The mean 1-year survival rates for SPGJ and GJ groups were 42.9% and 7.7%, respectively (P < .05). The mean survival times were 13.4 months in the SPGJ group and 5.8 months in the GJ group (P < .05).

Conclusions: Stomach-partitioning gastrojejunostomy achieved an improved quality of life and a better prognosis for patients, and it is the preferred bypass procedure for unresectable gastric carcinoma.

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