For postoperative gastric patients status post total gastrectomy, how do you approach anastamotic coverage?

Detailed instructions regarding lymph node coverage have been published, but how do you think about coverage of the anastamoses from the gastrectomy?

Answer from: Radiation Oncologist at Academic Institution

In the Gunderson re-op studies, local regional recurrences occurred in 38% of patients when assessed clinically, 67% when assessed by re-operation and 80-90% at autopsy. Of the local recurrences, 25% occurred at the anastomosis or duodenal stump when assessed clinically or by reoperation, and 50-60%...

Comments

Radiation Oncologist at UTHSCSA
Great answer! I think Critics 2 will be a good stu...

Please select the option that best describes you:

For postoperative gastric patients status post total gastrectomy, how do you approach anastamotic coverage?

Related Questions