South African Journal of Surgery

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Gastrojejunostomy for gastric outlet obstruction in patients with gastric carcinoma

DA Stupart, E Panieri, DM Dent


Objective. To investigate the utility of gastrojejunostomy for the palliation of gastric outlet obstruction in irresectable or incurable gastric carcinoma. Methods. This is a retrospective review of 67 patients who underwent a gastrojejunostomy for gastric outlet
obstruction caused by gastric carcinoma between 1 January 1996 and 31 May 2003.
Results. There were 19 complications after surgery, including 4 patients with unsatisfactory gastrojejunostomy drainage. Sixty patients were discharged from hospital having resumed normal eating. Their median survival after surgery was 9 months. Conclusion. Gastrojejunostomy offers worthwhile palliation and may prolong survival in a significant group of patients with irresectable gastric carcinoma and gastric outlet obstruction.

South African Journal of Surgery Vol. 44 (2) 2006: pp. 52-54

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