AIM: To identify the most effective treatment of @entity292 ( @entity292 ) after gastrectomy for @entity356 . METHODS: A systematic review of the literature was performed. PubMed, EMBASE, Cochrane Library, CILEA Archive, BMJ Clinical Evidence and UpToDate databases were analyzed. Three hundred eighty-eight manuscripts were retrieved and analyzed and thirteen studies published between 1988 and 2014 were finally selected according to the inclusion criteria, for a total of 145 cases of @entity292 , which represented our group of study. Only @entity1 with @entity292 after gastrectomy for @entity5 were selected. Data about @entity1 ' characteristics, type of treatment, short and long-term outcomes were extracted and analyzed. RESULTS: In the 13 studies different types of treatment were proposed: conservative approach, surgical approach, percutaneous approach and endoscopic approach (3 cases). The overall mortality rate was 11.7% for the entire cohort. The more frequent complications were @entity295 , @entity298 , @entity548 , @entity55 and @entity881 . Conservative approach was performed in 6 studies for a total of 79 @entity1 , in @entity1 with stable general condition, often associated with percutaneous approach. A complete resolution of the leakage was achieved in 92.3% of these @entity1 , with a healing time ranging from 17 to 71 d. Surgical approach included duodenostomy, duodeno-jejunostomy, pancreatoduodenectomy and the use of rectus muscle flap. In-hospital stay of @entity1 who underwent relaparotomy ranged from 1 to 1035 d. The percutaneous approach included drainage of abscesses or duodenostomy (32 cases) and percutaneous biliary diversion (13 cases). The median healing time in this group was 43 d. CONCLUSION: Conservative approach is the treatment of choice, eventually associated with percutaneus drainage. Surgical approach should be reserved for severe cases or when conservative approaches fail.

Management of XXXX after gastrectomy for @entity356 : Systematic review.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity298 :: ('MESH:D010538', 'Disease') :: ['abscesses, peritonitis'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignancy'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity292 :: ('MESH:D005402', 'Disease') :: ['duodenal stump fistula', 'DSF'] @entity881 :: ('MESH:D009102', 'Disease') :: ['multi-organ failure'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric cancer']
@entity292 :: (MESH:D005402,Disease) :: ['duodenal stump fistula']
