ArticleJournal of gastric cancer2020
Risk Factors for Duodenal Stump Leakage after Laparoscopic Gastrectomy for Gastric Cancer.
Article in Journal of gastric cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 25 citations in OpenAlex.
- A novel clipping method for duodenal stump reinforcement in laparoscopic gastric cancer surgery: does it prevent leaks? Results from a multicenter study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2026Article
- Predictive modelling of duodenal stump leakage after gastric cancer and long-term oncological outcomes.Translational cancer research · 2026Article
- Two hemi-purse-string suture for dodenal stump reinforcement during laparoscopic gastrectomy for gastric cancer.World journal of surgical oncology · 2026Article
- Case Report: Delayed intra-abdominal hemorrhage in a patient with a duodenal stump tumor after Billroth II gastrectomy.Frontiers in oncology · 2026Article
- Short-term outcomes of gastric cancer patients with versus without duodenal stump reinforcement after laparoscopic gastrectomy.Surgical endoscopy · 2025Article
- Article
- Predictive model and prognostic insights into duodenal stump fistula following radical gastrectomy with Roux-en-Y reconstruction for gastric cancer.World journal of gastrointestinal surgery · 2025Article
- Review
- Successful endoscopic duodenal stent placement for afferent loop obstruction following Billroth II gastrectomy: a case report.Frontiers in oncology · 2025Article
- Machine learning-based real-time prediction of duodenal stump leakage from gastrectomy in gastric cancer patients.Frontiers in surgery · 2025Article
- Successful closure of a duodenal stump leak with an over-the-scope clip using double-balloon endoscope.Endoscopy · 2024Article
- Importance of duodenal stump reinforcement to prevent stump leakage after gastrectomy: a large-scale multicenter retrospective study (KSCC DELICATE study).Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2024Article
- Modified Q-type purse-string suture duodenal stump embedding method for laparoscopic gastrectomy for gastric cancer.BMC surgery · 2024Article
- Retrograde drainage for duodenal stump leakage using ileal decompression tube guided by double-balloon endoscopy: a novel case report.Surgical case reports · 2024Article
- Perioperative analgesic effect and safety of ultrasound-guided external oblique intercostal block and oblique subcostal transversus abdominis plane block in patients receiving laparoscopic radical gastrectomy.American journal of translational research · 2024Article
- Reinforcement methods of duodenal stump after laparoscopic gastrectomy for gastric cancer: A review.Heliyon · 2023Review
- Effects of a high body mass index on the short-term outcomes and prognosis after radical gastrectomy.Surgery today · 2021Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDuodenal stump leakage (DSL) is a potentially fatal complication that can occur after gastrectomy, but its underlying risk factors are unclear. This study aimed to investigate the risk factors and management of DSL after laparoscopic radical gastrectomy for gastric cancer (GC). MATERIALS AND
methodsRelevant data were collected from several prospective databases to retrospectively analyze the data of GC patients who underwent Billroth II (B-II) or Roux-en-Y (R-Y) reconstruction after laparoscopic gastrectomy from 2 institutions (Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, and HwaMei Hospital, University of Chinese Academy of Sciences). The DSL risk factors were analyzed using univariate and multivariate analysis regression.
resultsA total of 810 patients were eligible for our analysis (426 with R-Y, 384 with B-II with Braun). Eleven patients had DSL (1.36%). Body mass index (BMI), elevated preoperative C-reactive protein (CRP) level, and unreinforced duodenal stump were the independent risk factors for DSL. DSL was diagnosed in 2-12 days, with a median of 8 days. Seven patients received conservative treatment, 3 patients received puncture treatment, and only 1 patient required reoperation. All patients recovered successfully after treatment.
conclusionsThe risk factors of DSL were BMI ≥24 kg/m
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