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[Residual stomach, duodenum, and continual jejunal interposition after subtotal gastrectomy].
Zhonghua Yi Xue Za Zhi. 2005 Aug 10; 85(30):2117-9.ZY

Abstract

OBJECTIVE

To investigate the clinical effect of residual stomach, duodenum, and continual jejunal interposition on the patients of gastric cancer after subtotal gastrectomy.

METHODS

Fifty-four patients with gastric cancer after subtotal gastrectomy were randomly divided into 2 groups: Group A (n = 26, receiving digestive tract reconstruction by manual end-to-side anastomosis of residual stomach and jejunum, end-to-side anastomosis of residual duodenum and jejunum, and side-to-side anastomosis of jejunum and jejunum, then the jejunum proximal to the stomach-jejunum anastomosis and the jejunum distal to the duodenum-jejunum anastomosis were ligated so as to form an integral continual jejunal interposition; and Group B (n = 28, receiving Bilroth digestive tract reconstruction. The operation time, body weight, prognosis nutrition index (PNI), and Visick score 3 and 6 months after the operation were observed.

RESULTS

All patients recovered quickly and no complicating anastomosis leakage and obstruction was found. It took 53 +/- 9 minutes to finish the reconstruction in Group A, significantly shorter than that in Group B (57 +/- 6 minutes, t = -2.145, P = 0.037). The body weight and PNI of both groups decreased significantly 3 months after the operation in comparison with those before the operation (both P < 0.05). The body weight and PNI of Group A returned to the levels before operation. Although the body weight and PNI of Group B recovered to some extent 6 months after operation, they remained significantly lower than those before operation both P < 0.05). The Visick score 6 months after operation of Group A was superior to that of Group B (t = 2.1 P < 0.05).

CONCLUSION

Residual stomach, duodenum, and continual jejunal interposition after subtotal gastrectomy helps overcome the difficulty in the procedure of digestive tract reconstruction and restore the physiological passage through duodenum, thus avoiding reflux and improving patients' quality of life.

Authors+Show Affiliations

Department of Gastrointestinal Surgery, Affiliated Hospital, Zhejiang College of Traditional Chinese Medicine, Hangzhou 310006, China. zhangqinhz@mail.hz.zj.cnNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

chi

PubMed ID

16313821

Citation

Zhang, Qin, et al. "[Residual Stomach, Duodenum, and Continual Jejunal Interposition After Subtotal Gastrectomy]." Zhonghua Yi Xue Za Zhi, vol. 85, no. 30, 2005, pp. 2117-9.
Zhang Q, Ye ZY, Yu JF, et al. [Residual stomach, duodenum, and continual jejunal interposition after subtotal gastrectomy]. Zhonghua Yi Xue Za Zhi. 2005;85(30):2117-9.
Zhang, Q., Ye, Z. Y., Yu, J. F., Zhang, R. L., Xu, J., Ye, S. Y., & Zhang, Q. (2005). [Residual stomach, duodenum, and continual jejunal interposition after subtotal gastrectomy]. Zhonghua Yi Xue Za Zhi, 85(30), 2117-9.
Zhang Q, et al. [Residual Stomach, Duodenum, and Continual Jejunal Interposition After Subtotal Gastrectomy]. Zhonghua Yi Xue Za Zhi. 2005 Aug 10;85(30):2117-9. PubMed PMID: 16313821.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Residual stomach, duodenum, and continual jejunal interposition after subtotal gastrectomy]. AU - Zhang,Qin, AU - Ye,Zai-yuan, AU - Yu,Jian-fa, AU - Zhang,Rui-lin, AU - Xu,Ji, AU - Ye,Sheng-ya, AU - Zhang,Qi, PY - 2005/11/30/pubmed PY - 2007/6/2/medline PY - 2005/11/30/entrez SP - 2117 EP - 9 JF - Zhonghua yi xue za zhi JO - Zhonghua Yi Xue Za Zhi VL - 85 IS - 30 N2 - OBJECTIVE: To investigate the clinical effect of residual stomach, duodenum, and continual jejunal interposition on the patients of gastric cancer after subtotal gastrectomy. METHODS: Fifty-four patients with gastric cancer after subtotal gastrectomy were randomly divided into 2 groups: Group A (n = 26, receiving digestive tract reconstruction by manual end-to-side anastomosis of residual stomach and jejunum, end-to-side anastomosis of residual duodenum and jejunum, and side-to-side anastomosis of jejunum and jejunum, then the jejunum proximal to the stomach-jejunum anastomosis and the jejunum distal to the duodenum-jejunum anastomosis were ligated so as to form an integral continual jejunal interposition; and Group B (n = 28, receiving Bilroth digestive tract reconstruction. The operation time, body weight, prognosis nutrition index (PNI), and Visick score 3 and 6 months after the operation were observed. RESULTS: All patients recovered quickly and no complicating anastomosis leakage and obstruction was found. It took 53 +/- 9 minutes to finish the reconstruction in Group A, significantly shorter than that in Group B (57 +/- 6 minutes, t = -2.145, P = 0.037). The body weight and PNI of both groups decreased significantly 3 months after the operation in comparison with those before the operation (both P < 0.05). The body weight and PNI of Group A returned to the levels before operation. Although the body weight and PNI of Group B recovered to some extent 6 months after operation, they remained significantly lower than those before operation both P < 0.05). The Visick score 6 months after operation of Group A was superior to that of Group B (t = 2.1 P < 0.05). CONCLUSION: Residual stomach, duodenum, and continual jejunal interposition after subtotal gastrectomy helps overcome the difficulty in the procedure of digestive tract reconstruction and restore the physiological passage through duodenum, thus avoiding reflux and improving patients' quality of life. SN - 0376-2491 UR - https://www.unboundmedicine.com/medline/citation/16313821/[Residual_stomach_duodenum_and_continual_jejunal_interposition_after_subtotal_gastrectomy]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&amp;issn=0376-2491&amp;year=2005&amp;vol=85&amp;issue=30&amp;fpage=2117 DB - PRIME DP - Unbound Medicine ER -