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 @entity292 after gastrectomy for XXXX : 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']
@entity356 :: (MESH:D013274,Disease) :: ['gastric cancer']
