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Updated: Jul 15, 2026
10:41
Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis
Published on: December 15, 2023
Mortality after remote surgery for benign gastroduodenal disease
C C Staël von Holstein1, H Anderson, S B Eriksson
1Department of Surgery, University Hospital, Lund, Sweden.
Gut
|November 1, 1995
Summary
Long-term partial gastrectomy patients face higher mortality, especially from cancers and suicide. Early surgery (before 45) increases cardiovascular risks initially, while malignancy risk rises over 20 years post-operation.
Area of Science:
- Gastroenterology
- Oncology
- Epidemiology
Background:
- Partial gastrectomy is a common surgical procedure for gastroduodenal diseases.
- Long-term outcomes and mortality risks following this surgery require further investigation.
Purpose of the Study:
- To assess long-term mortality after partial gastrectomy for benign gastroduodenal disease.
- To identify specific causes of excess mortality and risk factors associated with age at surgery.
Main Methods:
- A cohort study of 1575 patients undergoing partial gastrectomy 29–59 years ago.
- Follow-up to determine final patient status and compare mortality rates with the general population using standardized mortality ratios (SMR).
Main Results:
- Overall mortality was significantly higher (SMR=1.10) than in the general population.
- Excess deaths were linked to neoplasms (stomach, pancreas, male genital, respiratory organs), respiratory diseases, and suicide.
- Patients operated on before age 45 experienced a 60% increase in mortality (cardiovascular disease, suicide) in the first 19 years, with malignancy risk rising >20 years postoperatively.
Conclusions:
- Partial gastrectomy is associated with increased long-term mortality, particularly from specific cancers and suicide.
- Age at surgery influences the pattern of excess mortality, with younger patients facing initial cardiovascular risks and all patients having a delayed malignancy risk.
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