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学科主题临床医学
Stomach-interposed cholecystogastrojejunostomy: A palliative approach for periampullary carcinoma
Hao, Chun-Yi; Su, Xiang-Qian; Ji, Jia-Fu; Huang, Xin-Fu; Xing, Bao-Cai
关键词Palliation Periampullary carcinoma Double by-pass
刊名WORLD JOURNAL OF GASTROENTEROLOGY
2005-04-07
11期:13页:2009-2012
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Gastroenterology & Hepatology
研究领域[WOS]Gastroenterology & Hepatology
英文摘要

AIM: For patients of periampullary carcinoma found to be unresectable at the time of laparotomy, surgical palliation is the primary choice of treatment. Satisfactory palliation to maximize the quality of life with low morbidity and mortality is the gold standard for a good procedure. Our aim is to explore such a procedure as an alternative to the traditional ones.

METHODS: A modified double-bypass procedure is performed by, in addition to the usual gastrojejunostomy, implanting a mushroom catheter from the gall bladder into the jejunum through the interposed stomach as an internal drainage. A retrospective review was performed including 22 patients with incurable periampullary carcinomas who underwent this surgery.

RESULTS: Both jaundice and impaired liver function improved significantly after surgery. No postoperative deaths, cholangitis, gastrojejunal, biliary anastomotic leaks, recurrent jaundice or late gastric outlet obstruction occurred. Delayed gastric emptying occurred in two patients. The total surgical time was 150 +/- 26 min. The estimated blood loss was 160 +/- 25 mL. The mean length of hospital stay after surgery was 22 +/- 6 d. The mean survival was 8 mo (range 1.5-18 mo).

CONCLUSION: In patients of unresectable periampullary malignancies, stomach-interposed cholecystogastrojejunostomy is a safe, simple and efficient technique for palliation. (C) 2005 The WJG Press and Elsevier Inc. All rights reserved.

语种英语
WOS记录号WOS:000208102500021
引用统计
被引频次:1[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/64720
专题北京大学临床肿瘤学院
北京大学临床肿瘤学院_胃肠肿瘤中心一病区
北京大学临床肿瘤学院_肝胆胰外一科
北京大学临床肿瘤学院_肝胆胰外二科
作者单位Peking Univ, Sch Oncol, Dept Surg, Beijing 100036, Peoples R China
推荐引用方式
GB/T 7714
Hao, Chun-Yi,Su, Xiang-Qian,Ji, Jia-Fu,et al. Stomach-interposed cholecystogastrojejunostomy: A palliative approach for periampullary carcinoma[J]. WORLD JOURNAL OF GASTROENTEROLOGY,2005,11(13):2009-2012.
APA Hao, Chun-Yi,Su, Xiang-Qian,Ji, Jia-Fu,Huang, Xin-Fu,&Xing, Bao-Cai.(2005).Stomach-interposed cholecystogastrojejunostomy: A palliative approach for periampullary carcinoma.WORLD JOURNAL OF GASTROENTEROLOGY,11(13),2009-2012.
MLA Hao, Chun-Yi,et al."Stomach-interposed cholecystogastrojejunostomy: A palliative approach for periampullary carcinoma".WORLD JOURNAL OF GASTROENTEROLOGY 11.13(2005):2009-2012.
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