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Modified Devine Exclusion for Unresectable Distal Gastric Cancer in Symptomatic Patients. | LitMetric

Modified Devine Exclusion for Unresectable Distal Gastric Cancer in Symptomatic Patients.

Case Rep Gastroenterol

Department of Surgery, Clinical University Hospital, Valencia, Spain; Department of Surgery, University of Valencia, Valencia, Spain.

Published: January 2017

Background: In patients with outlet obstruction syndrome and/or severe anemia secondary to unresectable gastric cancer (GC), partial stomach-partitioning gastrojejunostomy, or modified Devine exclusion, is a surgical alternative.

Methods: A retrospective study was conducted on patients with unresectable distal GC treated with modified Devine exclusion as palliative surgery between February 2005 and December 2015. It consisted of a series of 10 patients with outlet obstruction syndrome and/or severe anemia. The outcomes of this technique were based on oral tolerance, blood transfusions, postoperative complications, and survival.

Results: Early oral tolerance and a low rate of blood transfusions were observed postoperatively. There was no postoperative mortality and a very low complication rate without anastomotic leakage. Median survival was 9 months.

Conclusions: Partial stomach-partitioning gastrojejunostomy is a safe procedure for unresectable GC which can improve the quality of life of these patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5301114PMC
http://dx.doi.org/10.1159/000452759DOI Listing

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