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Hand-sewn versus stapled anastomosis for billroth II gastrojejunostomy after distal gastrectomy: Comparison of short-term outcomes

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dc.contributor.authorUPRAK, TEVFİK KIVILCIM
dc.contributor.authorERGENÇ, MUHAMMER
dc.contributor.authorATALAY, VAFİ
dc.contributor.authorsUprak T. K., Ekdal D. C., Ergenç M., Atalay V.
dc.date.accessioned2023-06-01T07:09:02Z
dc.date.available2023-06-01T07:09:02Z
dc.date.issued2023-05-01
dc.description.abstractIntroduction: Subtotal gastrectomy is usually performed in patients with distal gastric cancer. After distal gastrectomy, which reconstruction method can be used is still controversial. This study evaluated the effect of the stapler and hand-sewn techniques on postoperative results. Methods: Patients who underwent distal gastrectomy in a single center were evaluated retrospectively in this study. Patients who underwent the Billroth II reconstruction method were analyzed. Hand-sewn and stapled techniques were compared in terms of operative and short-term postoperative outcomes. Results: Two hundred fourteen patients were included. Most of the patients (66.8%) were male. The median age was 61 years. Billroth-II reconstruction with hand-sewn was performed in 161 (75%) patients, and the double stapler technique was performed in 53 (25%) patients. When the hand-sewn and stapled groups were compared, no difference was found in age, sex, or American Society of Anesthesiology scores. There was no difference in choosing antecolic or retrocolic as the surgical technique (p=0.19). A shorter length of hospital stay was detected in the stapled group (p=0.01). The overall complication rate was higher in the hand-sewn group (21.7% vs. 7.5%, p=0.02). Clavien-Dindo grade 3 and above complications were significantly higher in the hand-sewn group (13.7% vs. 3.8%, p=0.02). Conclusion: Our study showed that the stapler anastomosis technique for Billroth II gastrojejunostomy after distal gastrectomy led to fewer overall complications and shortened hospital stays.
dc.identifier.citationUprak T. K., Ekdal D. C., Ergenç M., Atalay V., "Hand-sewn versus Stapled Anastomosis for Billroth II Gastrojejunostomy After Distal Gastrectomy: Comparison of Short-term Outcomes", ISTANBUL MEDICAL JOURNAL, cilt.24, sa.2, ss.181-185, 2023
dc.identifier.doi10.4274/imj.galenos.2023.48107
dc.identifier.endpage185
dc.identifier.issn2619-9793
dc.identifier.issue2
dc.identifier.startpage181
dc.identifier.urihttp://dx.doi.org/10.4274/imj.galenos.2023.48107
dc.identifier.urihttps://hdl.handle.net/11424/289827
dc.identifier.volume24
dc.language.isotur
dc.relation.ispartofISTANBUL MEDICAL JOURNAL
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectHealth Sciences
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectClinical Medicine (MED)
dc.subjectCLINICAL MEDICINE
dc.subjectSurgical staple
dc.subjecthand-sewn anastomosis
dc.subjectanastomosis technique
dc.subjectBillroth II
dc.subjectgastroenterostomy
dc.subjectgastric cancer
dc.titleHand-sewn versus stapled anastomosis for billroth II gastrojejunostomy after distal gastrectomy: Comparison of short-term outcomes
dc.typearticle
dspace.entity.typePublication
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relation.isAuthorOfPublication.latestForDiscovery8cac52ad-bd6f-4fb8-addc-05276383900f

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