List of gastrectomy complications

    Intraoperative complications

  1. Unintended intraoperative damage to major vessels and/or organs requiring reconstruction or resection
  2. Intraoperative bleeding requiring urgent treatment
  3. Unexpected medical conditions interrupting or changing the planned procedure

    4. Postoperative general complications

  4. Stroke causing patient’s permanent deficit
  5. Need for CPR
  6. Myocardial infarction with patient’s transfer to CCU/ICU/other critical care facility
  7. Cardiac dysrhythmia requiring invasive treatment
  8. Acute myocardial failure with acute pulmonary edema or drop in EF > 50%
  9. Pulmonary embolism with symptoms confirmed by urgent CT scan
  10. Need for prolonged intubation (> 24 hours after the surgical procedure)
  11. Respiratory failure requiring reintubation
  12. Need for tracheostomy
  13. Pleural effusion requiring drainage
  14. Pneumothorax requiring treatment
  15. Acute liver dysfunction (the Child-Pugh score > 8 for longer than 48 hours)
  16. Acute renal insufficiency (postoperative creatinine twice its preoperative value)/renal failure requiring CVVH or dialysis
  17. Infections (gastrointestinal, respiratory, urinary, or other) with both symptoms and germ isolation

    18. Postoperative surgical complications

  18. Postoperative bleeding requiring both urgent transfusions and invasive treatment
  19. Postoperative bowel obstruction (clinical/radiological signs of obstruction, inability to enteral feed, longer need for NG suction)
  20. Postoperative bowel perforation or necrosis requiring surgical treatment (or cause of death)
  21. Duodenal leak (irrespective of presentation, method of identification, clinical consequences, and treatment)
  22. Anastomotic leak (irrespective of presentation, method of identification, clinical consequences, and treatment)
  23. Postoperative pancreatic fistula
  24. Postoperative pancreatitis diagnosed both clinically and radiologically
  25. Other postoperative abnormal fluid from drainage and/or abdominal collections without gastrointestinal leak(s) preventing drainage removal or requiring treatment
  26. Delayed gastric emptying (by 10th postoperative day) requiring treatment or delaying discharge
  27. Other major complications requiring re-intervention or other invasive procedures

CPR indicates cardiopulmonary resuscitation; CCU, coronary care unit; ICU, intensive care unit; EF, ejection fraction; CVVH, continuous veno-venous hemofiltration; NG, nasogastric.