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[Effect of reconstruction method on nutritional status after gastrectomy. Comparison of Roux-Y esophagojejunostomy and jejunum interposition].
Chirurg. 1991 Apr; 62(4):300-5.C

Abstract

Body composition, postprandial symptoms and social performance were studied in 61 tumor-free patients after total gastrectomy and Roux-Y esophagojejunostomy (n = 30) or jejunal interposition (n = 31). Emptying of the gastric substitute and small bowel transit of a 99mTc-labeled solid test meal were measured by scintigraphy. Serum glucose levels, and immunoreactive insulin were measured simultaneously. The lowest postoperative weight was 73 +/- 2% of the pre-morbid weight in Roux-Y cases, and 77 +/- 2% after jejunal interposition, the weight at study was 82 +/- 2% respectively 87 +/- 1% of the premorbid weight (p less than 0.05). Of the patients younger than 60 years at operation only one third of the twelve Roux-Y cases had resumed their work, as compared to two thirds of the eighteen interposition cases (p = 0.056). The incidences of the postprandial symptoms were not different among the modes of reconstruction, except for a slightly higher incidence of late dumping in Roux-Y (17% vs. 10%). After correction for gender higher mean values of fat-free mass, total body water, and intracellular water were measured in interposition cases (bioelectric impedance analysis). The emptying half-time of the gastric substitute was 488 s in the Roux-Y group, and 378 s after interposition (p = 0.05), whereas the small bowel transit (median: 200 min) showed no differences between the groups. There was no correlation between t1/2 or small bowel transit and the nutritional data. Early dumping (p = 0.01) was the only symptom significantly associated with rapid emptying of the gastric substitute.(ABSTRACT TRUNCATED AT 250 WORDS)

Authors+Show Affiliations

Miholic J
Klinik für Abdominal- und Transplantationschirurgie, Medizinische Hochschule Hannover.
Meyer HJ
No affiliation info available
Balks J
No affiliation info available
Kotzerke J
No affiliation info available

MeSH

Anastomosis, Roux-en-YBlood GlucoseBody Mass IndexEsophagusFemaleFollow-Up StudiesGastrectomyGastrointestinal TransitHumansInsulinJejunumMaleMiddle AgedNutrition AssessmentPostgastrectomy SyndromesPostoperative ComplicationsStomach Neoplasms

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

ger

PubMed ID

1860354

Citation

Miholic, J, et al. "[Effect of Reconstruction Method On Nutritional Status After Gastrectomy. Comparison of Roux-Y Esophagojejunostomy and Jejunum Interposition]." Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, vol. 62, no. 4, 1991, pp. 300-5.
Miholic J, Meyer HJ, Balks J, et al. [Effect of reconstruction method on nutritional status after gastrectomy. Comparison of Roux-Y esophagojejunostomy and jejunum interposition]. Chirurg. 1991;62(4):300-5.
Miholic, J., Meyer, H. J., Balks, J., & Kotzerke, J. (1991). [Effect of reconstruction method on nutritional status after gastrectomy. Comparison of Roux-Y esophagojejunostomy and jejunum interposition]. Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, 62(4), 300-5.
Miholic J, et al. [Effect of Reconstruction Method On Nutritional Status After Gastrectomy. Comparison of Roux-Y Esophagojejunostomy and Jejunum Interposition]. Chirurg. 1991;62(4):300-5. PubMed PMID: 1860354.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Effect of reconstruction method on nutritional status after gastrectomy. Comparison of Roux-Y esophagojejunostomy and jejunum interposition]. AU - Miholic,J, AU - Meyer,H J, AU - Balks,J, AU - Kotzerke,J, PY - 1991/4/1/pubmed PY - 1991/4/1/medline PY - 1991/4/1/entrez SP - 300 EP - 5 JF - Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen JO - Chirurg VL - 62 IS - 4 N2 - Body composition, postprandial symptoms and social performance were studied in 61 tumor-free patients after total gastrectomy and Roux-Y esophagojejunostomy (n = 30) or jejunal interposition (n = 31). Emptying of the gastric substitute and small bowel transit of a 99mTc-labeled solid test meal were measured by scintigraphy. Serum glucose levels, and immunoreactive insulin were measured simultaneously. The lowest postoperative weight was 73 +/- 2% of the pre-morbid weight in Roux-Y cases, and 77 +/- 2% after jejunal interposition, the weight at study was 82 +/- 2% respectively 87 +/- 1% of the premorbid weight (p less than 0.05). Of the patients younger than 60 years at operation only one third of the twelve Roux-Y cases had resumed their work, as compared to two thirds of the eighteen interposition cases (p = 0.056). The incidences of the postprandial symptoms were not different among the modes of reconstruction, except for a slightly higher incidence of late dumping in Roux-Y (17% vs. 10%). After correction for gender higher mean values of fat-free mass, total body water, and intracellular water were measured in interposition cases (bioelectric impedance analysis). The emptying half-time of the gastric substitute was 488 s in the Roux-Y group, and 378 s after interposition (p = 0.05), whereas the small bowel transit (median: 200 min) showed no differences between the groups. There was no correlation between t1/2 or small bowel transit and the nutritional data. Early dumping (p = 0.01) was the only symptom significantly associated with rapid emptying of the gastric substitute.(ABSTRACT TRUNCATED AT 250 WORDS) SN - 0009-4722 UR - https://www.unboundmedicine.com/medline/citation/1860354/[Effect_of_reconstruction_method_on_nutritional_status_after_gastrectomy__Comparison_of_Roux_Y_esophagojejunostomy_and_jejunum_interposition]_ DB - PRIME DP - Unbound Medicine ER -