Duodenal Stump Leakage After Gastrectomy: Key Findings

Postoperative duodenal stump leakage occurs in 2.6% of gastric cancer patients and is associated with a 90-day mortality rate of 17.2%, emphasizing the need for preventive strategies.

  • 90-day mortality after duodenal stump leakage was significant, with 11 out of 64 patients dying (17.2%).
  • Prognostic factors for increased risk of leakage included preoperative weight loss, unreinforced duodenal stump, Billroth II reconstruction, and postoperative blood transfusion.

Surgeons should consider these factors in patient selection and surgical technique to mitigate risks associated with this complication.

Multicenter Study by Molteni M, Puccetti F (…) Rosati R et 25 al. in Br J Surg

© The Author(s) 2026. Published by Oxford University Press on behalf of BJS Foundation Ltd. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.
© The Author(s) 2026. Published by Oxford University Press on behalf of BJS Foundation Ltd. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.

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