Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Oncol. Oct 24, 2021; 12(10): 935-946
Published online Oct 24, 2021. doi: 10.5306/wjco.v12.i10.935
Jejunostomy in the palliative treatment of gastric cancer: A clinical prognostic score
Marcus Fernando Kodama Pertille Ramos, Marina Alessandra Pereira, Andre Roncon Dias, Erica Sakamoto, Ulysses Ribeiro Jr, Bruno Zilberstein, Sergio Carlos Nahas
Marcus Fernando Kodama Pertille Ramos, Marina Alessandra Pereira, Andre Roncon Dias, Erica Sakamoto, Ulysses Ribeiro Jr, Bruno Zilberstein, Sergio Carlos Nahas, Department of Gastroenterology, Instituto do Cancer, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo 01246000, Brazil
Author contributions: Ramos MFKP and Pereira MA performed the study design, data retrieval, statistical analysis, critical analysis, the draft of the manuscript; Dias AR and Sakamoto E performed the data retrieval and manuscript review; Ribeiro Jr U, Zilberstein B and Nahas SC performed the critical analysis and manuscript review.
Institutional review board statement: The study was approved by the hospital ethics committee and registered online (https://plataformabrasil.saude.gov.br; CAAE: 31626220.8.0000.0068).
Informed consent statement: Informed consent was waived by the local Ethics Committee because of the retrospective nature of the study.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest that might be relevant to the contents of this manuscript.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Marcus Fernando Kodama Pertille Ramos, MD, PhD, Surgeon, Surgical Oncologist, Department of Gastroenterology, Instituto do Cancer, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av Dr Arnaldo 251, São Paulo 01246000, Brazil. marcus.kodama@hc.fm.usp.br
Received: March 31, 2021
Peer-review started: March 31, 2021
First decision: June 28, 2021
Revised: July 3, 2021
Accepted: September 14, 2021
Article in press: September 14, 2021
Published online: October 24, 2021
Processing time: 205 Days and 7.9 Hours
Core Tip

Core Tip: This is a retrospective study to evaluate the outcomes of jejunostomy in clinical stage IV gastric cancer patients, and create a scoring system based on clinical variables to identify the best candidates for this approach and avoid futile procedures. We analyzed 80 patients divided into a development and validation cohort. The score had an accuracy of 75.6% in the validation cohort, and was able to properly identify the cases with high risk of 90-d mortality.