Risk factors for duodenal stump leakage after gastrectomy for XXXX and management technique of stump leakage.

@entity1 @entity254 @entity356
BACKGROUND/AIMS: The goal of this study was to elucidate the risk factors for duodenal stump leakage after gastrectomy for @entity356 . In addition, the management of duodenal stump leakage is reviewed. METHODOLOGY: From January 2002 through December 2012, 1,195 @entity1 with @entity356 who underwent gastric R0 resection were enrolled in this study. The clinicopathologic features, postoperative outcomes (i.e., operation time, hospital stay, surgical procedures, method of duodenal stump closure, retrieved lymph nodes), and the risk factors of duodenal stump leakage were analyzed. RESULTS: Of the 1,195 @entity1 , 13 @entity1 (1.1%) suffered duodenal stump leakage. Most of the @entity1 with duodenal stump leakage were male (92.3%). Nine @entity1 underwent a subtotal gastrectomy with Billroth- II or Roux-en-Y @entity254 ; the other four @entity1 underwent a total gastrectomy with a Roux-en-Y @entity254 . There were two mortalities. With univariate and multivariate analysis, age was the most predictable factor for duodenal stump leakage (p= 0.034, p=0.044) CONCLUSIONS: Duodenal stump leakage was affected by the age. For older @entity1 who undergo a radical gastrectomy for @entity356 , the surgeon must pay meticulous attention to the transection and mobilization of the duodenum in order to prevent duodenal stump leakage.
