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Roux-en-Y reconstruction with stapled distal jejunal pouch after total gastrectomy.
Am Surg. 2010 May; 76(5):526-8.AS

Abstract

Roux-en-Y reconstruction after total gastrectomy is a simple and safe procedure; however, it eliminates the gastric reservoir function and markedly changes the postoperative digestive physiology. The patients therefore suffer from insufficient food intake and malabsorption. It has been reported that jejunal pouch reconstruction increases food intake and improves the nutritional status. We established a novel Roux-en-Y reconstruction with stapled distal jejunal pouch after total gastrectomy. A jejunal pouch, 8 cm in size, was attached at the jejunojejunostomy. We performed this novel reconstruction for 20 gastric cancer patients after total gastrectomy with lymph node dissection as a feasible study. One year after operation, the average percentage weight was maintained in more than 90 per cent and 17 (85%) of these patients were in the normal range of the body mass index. This procedure may improve postoperative malnutrition after total gastrectomy according to our feasible study. A multicenter randomized trial of this approach comparing with Roux-en-Y reconstruction without a pouch is ongoing.

Authors+Show Affiliations

Digestive Surgery and Surgical Oncology, Kagoshima University School of Medicine, Kagoshima, Japan. ishiga@m.kufm.kagoshima-u.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20506885

Citation

Ishigami, Sumiya, et al. "Roux-en-Y Reconstruction With Stapled Distal Jejunal Pouch After Total Gastrectomy." The American Surgeon, vol. 76, no. 5, 2010, pp. 526-8.
Ishigami S, Aridome K, Nakajo A, et al. Roux-en-Y reconstruction with stapled distal jejunal pouch after total gastrectomy. Am Surg. 2010;76(5):526-8.
Ishigami, S., Aridome, K., Nakajo, A., Matsumoto, M., Uchikado, Y., Setoyama, T., Arigami, T., Arima, H., Ueno, S., Kijima, Y., Aikou, T., & Natsugoe, S. (2010). Roux-en-Y reconstruction with stapled distal jejunal pouch after total gastrectomy. The American Surgeon, 76(5), 526-8.
Ishigami S, et al. Roux-en-Y Reconstruction With Stapled Distal Jejunal Pouch After Total Gastrectomy. Am Surg. 2010;76(5):526-8. PubMed PMID: 20506885.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Roux-en-Y reconstruction with stapled distal jejunal pouch after total gastrectomy. AU - Ishigami,Sumiya, AU - Aridome,Kuniaki, AU - Nakajo,Akihiro, AU - Matsumoto,Masataka, AU - Uchikado,Yasuto, AU - Setoyama,Tetsuro, AU - Arigami,Takaaki, AU - Arima,Hideo, AU - Ueno,Shinichi, AU - Kijima,Yuko, AU - Aikou,Takashi, AU - Natsugoe,Shoji, PY - 2010/5/29/entrez PY - 2010/5/29/pubmed PY - 2010/7/23/medline SP - 526 EP - 8 JF - The American surgeon JO - Am Surg VL - 76 IS - 5 N2 - Roux-en-Y reconstruction after total gastrectomy is a simple and safe procedure; however, it eliminates the gastric reservoir function and markedly changes the postoperative digestive physiology. The patients therefore suffer from insufficient food intake and malabsorption. It has been reported that jejunal pouch reconstruction increases food intake and improves the nutritional status. We established a novel Roux-en-Y reconstruction with stapled distal jejunal pouch after total gastrectomy. A jejunal pouch, 8 cm in size, was attached at the jejunojejunostomy. We performed this novel reconstruction for 20 gastric cancer patients after total gastrectomy with lymph node dissection as a feasible study. One year after operation, the average percentage weight was maintained in more than 90 per cent and 17 (85%) of these patients were in the normal range of the body mass index. This procedure may improve postoperative malnutrition after total gastrectomy according to our feasible study. A multicenter randomized trial of this approach comparing with Roux-en-Y reconstruction without a pouch is ongoing. SN - 0003-1348 UR - https://www.unboundmedicine.com/medline/citation/20506885/Roux_en_Y_reconstruction_with_stapled_distal_jejunal_pouch_after_total_gastrectomy_ L2 - https://medlineplus.gov/stomachcancer.html DB - PRIME DP - Unbound Medicine ER -