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.
Abstract
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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
Author Affiliations
From the Department of Surgery III, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
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