Long-Term Outcome of Completion Gastrectomy for Nonmalignant Disease

Mehrdad Farahmand, Brett Sheppard, Clifford Deveney, Karen Deveney, Richard A. Crass

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Between 1989 and 1995 we performed completion gastrectomy for non-malignant disease in 21 patients (11 men and 10 women, mean age 48.4 years). These patients had undergone a total of 48 prior gastric operations. Indications for completion gastrectomy in this group were anastomotic ulceration with stricture in eight patients, alkaline reflux gastritis and/or esophagitis in eight, postsurgical gastroparesis in two, gastroesophageal necrosis in two, and gastrocutaneous fistula in one. Major preoperative symptoms included nausea and vomiting in 16 cases, abdominal pain in 15, dysphagia in 14, heartburn in seven, and weight loss in five. Following completion gastrectomy, five patients (24%) had serious complications and there was one postoperative death (5%). Five patients were lost to follow-up. For the remaining 15 patients, mean follow-up has been 30 months with a range of 1 to 70 months. These patients were all interviewed and eight (53%) report significant improvement, two (13%) report moderate improvement, and four (27%) report no improvement; one patient (7%) has had worsening of symptoms since undergoing completion gastrectomy. The average body weight index was essentially unchanged after completion gastrectomy. We conclude that completion gastrectomy with Roux-en-Y esophagojejunostomy results in a favorable outcome in the majority of selected patients with diseases of the foregut who are unresponsive to less radical treatment.

Original languageEnglish (US)
Pages (from-to)182-187
Number of pages6
JournalJournal of Gastrointestinal Surgery
Volume1
Issue number2
StatePublished - Mar 1997

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Gastrectomy
Gastroparesis
Heartburn
Esophagitis
Lost to Follow-Up
Gastritis
Deglutition Disorders
Nausea
Abdominal Pain
Fistula
Vomiting
Weight Loss
Stomach
Pathologic Constriction
Necrosis
Body Weight

ASJC Scopus subject areas

  • Surgery

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Long-Term Outcome of Completion Gastrectomy for Nonmalignant Disease. / Farahmand, Mehrdad; Sheppard, Brett; Deveney, Clifford; Deveney, Karen; Crass, Richard A.

In: Journal of Gastrointestinal Surgery, Vol. 1, No. 2, 03.1997, p. 182-187.

Research output: Contribution to journalArticle

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