{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:42Z","timestamp":1753877202823,"version":"3.41.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T00:00:00Z","timestamp":1720051200000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Duodenal stump fistula (DSF) is a dangerous complication after gastrectomy. There is no consensus on the management of DSF. Sometimes, emergency surgery may be necessary. We present the case who underwent subtotal gastrectomy with Roux-en-Y reconstruction for advanced gastric cancer. After that surgery, we diagnosed DSF due to pancreatic fistula, and performed reoperation because of hemodynamic instability due to diffuse peritonitis and sepsis. We resected the stump and closed with handsewn suturing and inserted three intra-abdominal drainage tubes, including a dual drainage tube around the duodenal stump. Although there was a recurrence of DSF, because of the continuous and absolute drainage, the patient improved and discharged on postoperative Day 59. From this experience, diligent debridement and a continuous suction dual drainage system, intraluminal drain of the duodenum, and biliary diversion may be an effective surgical management for DFS.<\/jats:p>","DOI":"10.1093\/jscr\/rjae444","type":"journal-article","created":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T13:34:38Z","timestamp":1720100078000},"source":"Crossref","is-referenced-by-count":0,"title":["The ingenious drainage system controls persistent duodenal stump fistula due to pancreatic fistula after subtotal gastrectomy for advanced gastric cancer"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3367-1058","authenticated-orcid":false,"given":"Kazuya","family":"Moriwake","sequence":"first","affiliation":[{"name":"Department of Surgery, Oomoto Hospital , 1-1-5 Oomoto, Kita-ku, Okayama 700-0924 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Isozaki","sequence":"additional","affiliation":[{"name":"Department of Surgery, Oomoto Hospital , 1-1-5 Oomoto, Kita-ku, Okayama 700-0924 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takehiro","family":"Takama","sequence":"additional","affiliation":[{"name":"Department of Surgery, Oomoto Hospital , 1-1-5 Oomoto, Kita-ku, Okayama 700-0924 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeki","family":"Murakami","sequence":"additional","affiliation":[{"name":"Department of Surgery, Oomoto Hospital , 1-1-5 Oomoto, Kita-ku, Okayama 700-0924 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sasau","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Oomoto Hospital , 1-1-5 Oomoto, Kita-ku, Okayama 700-0924 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,7,3]]},"reference":[{"key":"2024070413342806300_ref1","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1007\/s10120-016-0601-9","article-title":"Proposal of a new stage grouping of gastric cancer for TNM classification: International Gastric Cancer Association staging project","volume":"20","author":"Sano","year":"2017","journal-title":"Gastric Cancer"},{"key":"2024070413342806300_ref2","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.surg.2016.11.014","article-title":"The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 years after","volume":"161","author":"Bassi","year":"2017","journal-title":"Surgery"},{"key":"2024070413342806300_ref3","doi-asserted-by":"crossref","first-page":"28","DOI":"10.5230\/jgc.2016.16.1.28","article-title":"Outcomes of non-operative treatment for duodenal stump leakage after gastrectomy in patients with gastric cancer","volume":"16","author":"Ali","year":"2016","journal-title":"J Gastric Cancer"},{"key":"2024070413342806300_ref4","doi-asserted-by":"crossref","first-page":"157","DOI":"10.4174\/astr.2016.90.3.157","article-title":"Duodenal stump fistula after gastrectomy for gastric cancer: risk factors, prevention, and management","volume":"90","author":"Paik","year":"2016","journal-title":"Ann Surg Treat Res"},{"key":"2024070413342806300_ref5","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1007\/s10120-014-0445-0","article-title":"Surgical management of duodenal stump fistula after elective gastrectomy for malignancy: an Italian retrospective multicenter study","volume":"19","author":"Cozzaglio","year":"2016","journal-title":"Gastric Cancer"},{"key":"2024070413342806300_ref6","doi-asserted-by":"crossref","first-page":"7571","DOI":"10.3748\/wjg.v21.i24.7571","article-title":"Management of duodenal stump fistula after gastrectomy for gastric cancer: systematic review","volume":"21","author":"Aurello","year":"2015","journal-title":"World J Gastroenterol"},{"key":"2024070413342806300_ref7","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1016\/j.amjsurg.2020.02.042","article-title":"Duodenal stump leakage. Lessons to learn from a large-scale 15-year cohort study","volume":"220","author":"Patricia","year":"2020","journal-title":"Am J Surg"},{"key":"2024070413342806300_ref8","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1186\/s12893-019-0520-x","article-title":"Management of duodenal stump fistula after gastrectomy for malignant disease: a systematic review of the literature","volume":"19","author":"Zizzo","year":"2019","journal-title":"BMSC Surg"},{"key":"2024070413342806300_ref9","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1016\/j.ijsu.2018.03.082","article-title":"Duodenal fistula: the most lethal surgical complication in a case series of radical gastrectomy","volume":"53","author":"Ramos","year":"2018","journal-title":"Int J Surg"},{"key":"2024070413342806300_ref10","first-page":"430295","article-title":"Early rupture of an ultralow duodenal stump after extended surgery for gastric cancer with duodenal invasion managed by tube duodenostomy and cholangiostomy","volume":"2013","author":"Blouhos","year":"2013","journal-title":"Case Rep Surg"},{"key":"2024070413342806300_ref11","doi-asserted-by":"crossref","first-page":"851","DOI":"10.12659\/AJCR.915947","article-title":"Treatment of labial fistula communicating with the duodenal stump after gastrectomy","volume":"20","author":"Kamada","year":"2019","journal-title":"Am J Case Rep"},{"key":"2024070413342806300_ref12","doi-asserted-by":"crossref","first-page":"726","DOI":"10.9738\/INTSURG-D-14-00266.1","article-title":"Repeated duodenal stump perforation using a stapling device following subtotal gastrectomy with Roux-en-Y reconstruction for advanced gastric cancer: lessons from a rare case","volume":"100","author":"Furihata","year":"2015","journal-title":"Int Surg"},{"key":"2024070413342806300_ref13","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.sopen.2023.09.015","article-title":"Trocar puncture with modified sump drainage for duodenal stump fistula after radical gastrectomy for gastric cancer: a retrospective controlled study","volume":"16","author":"Wang","year":"2023","journal-title":"Surg Open Sci"},{"key":"2024070413342806300_ref14","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1007\/s11605-010-1166-2","article-title":"Duodenal fistula after elective gastrectomy for malignant disease: an Italian retrospective multicenter study","volume":"14","author":"Cozzaglio","year":"2010","journal-title":"J Gastrointest Surg"},{"key":"2024070413342806300_ref15","first-page":"1018","article-title":"Application of purse-string suture for management of duodenal stump in radical gastrectomy","volume":"124","author":"Shao","year":"2011","journal-title":"Chin Med J (Engl)"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/7\/rjae444\/58438865\/rjae444.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/7\/rjae444\/58438865\/rjae444.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T13:34:46Z","timestamp":1720100086000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae444\/7704653"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,1]]},"references-count":15,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae444","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2024,7]]},"published":{"date-parts":[[2024,7,1]]},"article-number":"rjae444"}}