Evidence map›Paper›PMID 40584469›Full record

ArticleWorld journal of gastrointestinal surgery2025

Predictive model and prognostic insights into duodenal stump fistula following radical gastrectomy with Roux-en-Y reconstruction for gastric cancer.

Yang Yu, Suguru Yamauchi, Sanae Kaji, Yukinori Yube, Motomi Nasu, Yutaro Yoshimoto, Ming Cheng, Asako Ozaki, Takehiro Watanabe, Hajime Orita and 5 more

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In one paragraph

Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

15 authors.

Yang YuDepartment of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo 113-8431, Japan.
Suguru YamauchiDepartment of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo 113-8431, Japan.
Sanae KajiDepartment of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo 113-8431, Japan.
Yukinori YubeDepartment of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo 113-8431, Japan.
Motomi NasuDepartment of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo 113-8431, Japan.
Yutaro YoshimotoDepartment of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo 113-8431, Japan.
Ming ChengDepartment of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo 113-8431, Japan.
Asako OzakiDepartment of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo 113-8431, Japan.
Takehiro WatanabeDepartment of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo 113-8431, Japan.
Hajime OritaDepartment of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo 113-8431, Japan.
Kaitlyn EcoffDepartment of Surgery, Johns Hopkins University, Baltimore, MD 21287, United States.
Shuko NojiriMedical Technology Innovation Center, Juntendo University, Tokyo 113-8421, Japan.
Shinji MineDepartment of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo 113-8431, Japan.
Yong-You WuDepartment of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo 113-8431, Japan.
Tetsu FukunagaDepartment of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo 113-8431, Japan. t2fukunaga@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuodenal stump fistula (DSF) is a rare yet serious complication following gastric cancer surgery. The risk factors associated with DSF, as well as the predictive models, remain insufficiently elucidated.

aimTo identify DSF risk factors following radical gastrectomy with Roux-en-Y anastomosis, develop a predictive model, and evaluate impact on prognosis.

methodsThis retrospective cohort study was conducted on patients undergoing radical gastrectomy with Roux-en-Y anastomosis for gastric cancer at Juntendo University from 2015 to 2021 (

resultsAmong the 325 patients analyzed, DSF was observed in 7 (2.2%) cases. No DSF was observed in 110 patients where the duodenal stump suturing fixation technique to the jejunal wall was used. Multivariate analysis confirmed that age [odds ratio (OR) = 1.17,

conclusionAge and OVF are independent risk factors for DSF, which worsens CSS. A nomogram predicts DSF accurately, and innovative surgical techniques may reduce its occurrence.

Indexed as

Cancer survivalDuodenal stump fistulaGastric cancerPredictive nomogramRoux-en-Y reconstruction

Identifiers

PMID40584469
PMCPMC12188586

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.