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Gastrojejunostomy for gastric outlet obstruction in patients with gastric carcinoma
D A Stupart1, E Panieri, D M Dent
1Department of Surgery, Groote Schuur Hospital, University of Cape Town.
Objective:
To investigate the utility of gastrojejunostomy for the palliation of gastric outlet obstruction in irresectable or incurable gastric carcinoma.
Methods:
This is a retrospective review of 67 patients who underwent a gastrojejunostomy for gastric outlet obstruction caused by gastric carcinoma between 1 January 1996 and 31 May 2003.
Results:
There were 19 complications after surgery, including 4 patients with unsatisfactory gastrojejunostomy drainage. Sixty patients were discharged from hospital having resumed normal eating. Their median survival after surgery was 9 months.
Conclusion:
Gastrojejunostomy offers worthwhile palliation and may prolong survival in a significant group of patients with irresectable gastric carcinoma and gastric outlet obstruction.
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