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KMID : 0914820090090020057
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Journal of the Korean Gastric Cancer Association
2009 Volume.9 No. 2 p.57 ~ p.62
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Comparison of End-to-side and End-to-end Anastomosis in Circular Stapled Gastroduodenostomy
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Seo Min-Woo
Song Dan
Cho Gyu-Seok
Kim Jae-Joon
Lee Moon-Soo
Kang Gil-Ho
Kim Yong-Jin
Hur Kyung-Yul
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Abstract
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Purpose: The use of automatic circular staplers for gastroduodenostomy after distal gastrectomy is now widely accepted. We compared the clinical outcomes of two different methods.
Materials and Methods: Between March 2005 and February 2008, 134 patients with gastric cancer underwent distal gastrectomies. Seventy-six consecutive patients received end-to-side gastroduodenostomies (ES) between March 2005 and September 2006. The remaining 58 consecutive patients received end-to-end gastroduodenostomies (EE) between November 2006 and February 2008. We analyzed the surgical outcomes between the two groups (ES versus EE) on the basis of prospectively collected data.
Results: Among the clinical factors, there were no differences between the two groups. The overall complication rates were 19.7% in the ES group and 13.8% in the EE group (P=0.489). With respect to anastomosis-related complications, 2 cases had bleeding and 2 cases had stenoses in the ES group, while 2 cases in the EE group had bleeding. Re-operation was needed in the case of intraluminal bleeding in the ES group. There were no mortalities in our study.
Conclusion: The two methods for gastroduodenostomy were safe and technically feasible. Although there was no statistical difference in the overall complications, including anastomosis-related complications, we demonstrated better outcomes with respect to anastomotic stenosis in the EE group.
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KEYWORD
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Gastroduodenostomy, Complication, End-to-side anastomosis, End-to-end anastomosis
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