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学科主题: 临床医学
题名:
Stomach-interposed cholecystogastrojejunostomy: A palliative approach for periampullary carcinoma
作者: 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
发表日期: 2005-04-07
卷: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/64720
Appears in Collections:北京大学临床肿瘤学院_期刊论文

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作者单位: Peking Univ, Sch Oncol, Dept Surg, Beijing 100036, Peoples R China

Recommended Citation:
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.
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