Roux-en-Y gastroenteroanastomosis in the treatment of stenosing and advanced gastric adenocarcinoma

Detalhes bibliográficos
Autor(a) principal: Andreollo,Nelson Adami
Data de Publicação: 2010
Outros Autores: Lopes,Luiz Roberto, Coelho Neto,João de Souza, Silveira,Henrique José Virgili
Tipo de documento: Artigo
Idioma: eng
Título da fonte: ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202010000200006
Resumo: BACKGROUND: Gastric cancer is the most common cancer of the digestive tract and approximately 60% of cases are advanced when the patient is first admitted for treatment. AIM: A retrospective analysis of patients with advanced gastric adenocarcinoma, stenosing and unresectable, performing Roux-en-Y gastroenteroanasmosis. METHODS: From January 1998 to December 2009, 62 patients were operated with a mean age of 52.7 years, being 43 males (69.3%). The gastrojejunal anastomosis was latero-lateral, pre-colic and jejuno-jejunoanastomosis end-to-side Roux-en-Y, lying about 50 cm from the stomach. RESULTS: The average hospital stay was 7.5 days. It was reported one death secondary to pneumonia and sepsis (1.6%). Postoperatively, all patients started to eat solids and pastes, with weight gain. The occurrence of frequent vomiting was found in four patients (6,4%). The median survival was 11 months. CONCLUSION: The Roux-en-Y gastroenteroanastomosis is a very good option to prevent the occurrence of enteric and bilious vomiting after palliative surgery, causes weight gain and improved quality of life.
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spelling Roux-en-Y gastroenteroanastomosis in the treatment of stenosing and advanced gastric adenocarcinomaStomach neoplasmsAdenocarcinomaSurgeryBACKGROUND: Gastric cancer is the most common cancer of the digestive tract and approximately 60% of cases are advanced when the patient is first admitted for treatment. AIM: A retrospective analysis of patients with advanced gastric adenocarcinoma, stenosing and unresectable, performing Roux-en-Y gastroenteroanasmosis. METHODS: From January 1998 to December 2009, 62 patients were operated with a mean age of 52.7 years, being 43 males (69.3%). The gastrojejunal anastomosis was latero-lateral, pre-colic and jejuno-jejunoanastomosis end-to-side Roux-en-Y, lying about 50 cm from the stomach. RESULTS: The average hospital stay was 7.5 days. It was reported one death secondary to pneumonia and sepsis (1.6%). Postoperatively, all patients started to eat solids and pastes, with weight gain. The occurrence of frequent vomiting was found in four patients (6,4%). The median survival was 11 months. CONCLUSION: The Roux-en-Y gastroenteroanastomosis is a very good option to prevent the occurrence of enteric and bilious vomiting after palliative surgery, causes weight gain and improved quality of life.Colégio Brasileiro de Cirurgia Digestiva2010-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202010000200006ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.23 n.2 2010reponame:ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)instname:Colégio Brasileiro de Cirurgia Digestiva (CBCD)instacron:CBCD10.1590/S0102-67202010000200006info:eu-repo/semantics/openAccessAndreollo,Nelson AdamiLopes,Luiz RobertoCoelho Neto,João de SouzaSilveira,Henrique José Virgilieng2010-07-26T00:00:00Zoai:scielo:S0102-67202010000200006Revistahttp://abarriguda.org.br/revista/index.php/revistaabarrigudaarepb/indexONGhttps://old.scielo.br/oai/scielo-oai.php||revistaabcd@gmail.com2317-63262317-6326opendoar:2010-07-26T00:00ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) - Colégio Brasileiro de Cirurgia Digestiva (CBCD)false
dc.title.none.fl_str_mv Roux-en-Y gastroenteroanastomosis in the treatment of stenosing and advanced gastric adenocarcinoma
title Roux-en-Y gastroenteroanastomosis in the treatment of stenosing and advanced gastric adenocarcinoma
spellingShingle Roux-en-Y gastroenteroanastomosis in the treatment of stenosing and advanced gastric adenocarcinoma
Andreollo,Nelson Adami
Stomach neoplasms
Adenocarcinoma
Surgery
title_short Roux-en-Y gastroenteroanastomosis in the treatment of stenosing and advanced gastric adenocarcinoma
title_full Roux-en-Y gastroenteroanastomosis in the treatment of stenosing and advanced gastric adenocarcinoma
title_fullStr Roux-en-Y gastroenteroanastomosis in the treatment of stenosing and advanced gastric adenocarcinoma
title_full_unstemmed Roux-en-Y gastroenteroanastomosis in the treatment of stenosing and advanced gastric adenocarcinoma
title_sort Roux-en-Y gastroenteroanastomosis in the treatment of stenosing and advanced gastric adenocarcinoma
author Andreollo,Nelson Adami
author_facet Andreollo,Nelson Adami
Lopes,Luiz Roberto
Coelho Neto,João de Souza
Silveira,Henrique José Virgili
author_role author
author2 Lopes,Luiz Roberto
Coelho Neto,João de Souza
Silveira,Henrique José Virgili
author2_role author
author
author
dc.contributor.author.fl_str_mv Andreollo,Nelson Adami
Lopes,Luiz Roberto
Coelho Neto,João de Souza
Silveira,Henrique José Virgili
dc.subject.por.fl_str_mv Stomach neoplasms
Adenocarcinoma
Surgery
topic Stomach neoplasms
Adenocarcinoma
Surgery
description BACKGROUND: Gastric cancer is the most common cancer of the digestive tract and approximately 60% of cases are advanced when the patient is first admitted for treatment. AIM: A retrospective analysis of patients with advanced gastric adenocarcinoma, stenosing and unresectable, performing Roux-en-Y gastroenteroanasmosis. METHODS: From January 1998 to December 2009, 62 patients were operated with a mean age of 52.7 years, being 43 males (69.3%). The gastrojejunal anastomosis was latero-lateral, pre-colic and jejuno-jejunoanastomosis end-to-side Roux-en-Y, lying about 50 cm from the stomach. RESULTS: The average hospital stay was 7.5 days. It was reported one death secondary to pneumonia and sepsis (1.6%). Postoperatively, all patients started to eat solids and pastes, with weight gain. The occurrence of frequent vomiting was found in four patients (6,4%). The median survival was 11 months. CONCLUSION: The Roux-en-Y gastroenteroanastomosis is a very good option to prevent the occurrence of enteric and bilious vomiting after palliative surgery, causes weight gain and improved quality of life.
publishDate 2010
dc.date.none.fl_str_mv 2010-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202010000200006
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202010000200006
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0102-67202010000200006
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgia Digestiva
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgia Digestiva
dc.source.none.fl_str_mv ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.23 n.2 2010
reponame:ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
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instname_str Colégio Brasileiro de Cirurgia Digestiva (CBCD)
instacron_str CBCD
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reponame_str ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
collection ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
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repository.mail.fl_str_mv ||revistaabcd@gmail.com
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