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Stomach-Partitioning Gastrojejunostomy for Unresectable Gastric Carcinoma

Michio Kaminishi, MD, PhD; Hirokazu Yamaguchi, MD; Nobuyuki Shimizu, MD; Sachiyo Nomura, MD; Akemi Yoshikawa, MD; Masanori Hashimoto, MD; Shigeru Sakai, MD; Takeshi Oohara, MD, PhD
Arch Surg. 1997;132(2):184-187. doi:10.1001/archsurg.1997.01430260082018.
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Objectives:  To analyze the results of a new type of bypass procedure, stomach-partitioning gastrojejunostomy (SPGJ), for unresectable gastric carcinoma and to compare these results with those of conventional gastrojejunostomy (GJ).

Design:  Retrospective review.

Setting:  A university hospital in Japan.

Patients:  Eight patients underwent SPGJ in 1 group, and 13 underwent conventional GJ in the other group. Staging was determined using preoperative diagnostic imagings and intraoperative findings.

Main Outcome Measures:  Assessment of food intake and mean survival rates.

Results:  There were no significant differences between the 2 groups regarding male-female ratio, mean age, and histological type of carcinoma. All patients had stage IV cancers according to the classification of the Union Internationale Contre le Cancer. The rates of taking a regular meal at 2 weeks after an operation were 88% in the SPGJ group and 31% in the GJ group (P<.05). The mean 1-year survival rates for SPGJ and GJ groups were 42.9% and 7.7%, respectively (P<.05). The mean survival times were 13.4 months in the SPGJ group and 5.8 months in the GJ group (P<.05).

Conclusions:  Stomach-partitioning gastrojejunostomy achieved an improved quality of life and a better prognosis for patients, and it is the preferred bypass procedure for unresectable gastric carcinoma.Arch Surg. 1997;132:184-187


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