Reconstruction after total gastrectomy by the interposition of a double jejunal pouch using a double stapling technique

The British Journal of Surgery
M IkedaT Shiba

Abstract

After total gastrectomy, sustaining good nutrition is extremely important for maintaining quality of life. A technique of neogastric pouch formation based on current physiological reconstructive principles is presented. The use of a modified interpositioned double jejunal pouch following total gastrectomy in 18 patients with cancer was reviewed. This technique results in a complete pouch and uses a double stapling technique with site-specific anastomosis between the oesophagus and pouch, in which a Hisoid angle is created. There were no anastomotic leaks and pouch blood flow was within normal expected limits. Mean oesophageal pH above 7.0 for one 24-h period was 7.7 per cent. Emptying half-time was 67.8 min. After 2 years mean body-weight was 98.3 per cent of expected, mean food volume was 94.0 per cent of expected and mean meal frequency was 3.0 per day. This form of gastric reconstruction is an acceptable procedure which improves the quality of life in patients undergoing total gastrectomy.

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Citations

May 4, 2001·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·C W VickeryUNKNOWN EORTC Quality of Life Group
May 15, 2001·The British Journal of Surgery·B S LangenhoffT J Ruers
Oct 7, 2006·Current Opinion in Gastroenterology·C M Coopersmith, J A Lowell
Jul 17, 2003·Transplantation·Tomoyuki MaemuraJoseph P Vacanti
Oct 12, 2010·Journal of Visceral Surgery·G PiessenC Mariette
Aug 15, 2015·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Yuichi ItoYasuhiro Kodera
Jul 15, 2004·Transplantation Proceedings·T MaemuraJ P Vacanti
Oct 23, 2004·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Tomoyuki MaemuraJoseph P Vacanti
Dec 14, 2006·Digestive Surgery·Takashi IchikuraHidetaka Mochizuki
Nov 2, 2018·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Chie TanakaYasuhiro Kodera

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