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Emptying of the jejunal pouch as a gastric substitute after total gastrectomy for cancer.
Hepatogastroenterology. 1997 May-Jun; 44(15):901-6.H

Abstract

BACKGROUND/AIMS

The reservoir and transit capacity of the post-gastrectomy jejunal pouch was evaluated, using a radioisotopic method, to examine the relationship of the gastric emptying to postprandial symptoms and to the food intake status.

METHODOLOGY

Thirty-seven patients who had undergone total gastrectomy for cancer (Roux-Y reconstruction, 8; Hunt- Lawrence pouch and Roux-Y, 15; pouch interposition, 5; modified pouch interposition, 9) were retrospectively studied. Based on the percent retention in the gastric substitute, the emptying curves were classed as showing delayed, intermediate, and rapid emptying types.

RESULTS

All of the patients with pouch reconstruction showed either delayed or intermediate emptying. High frequency of the sensation of epigastric fullness, nausea, or vomiting was demonstrated in the patients with delayed emptying (p < 0.01). The patients with delayed emptying showed poor food intake compared to those with intermediate emptying (p < 0.05). Given the X-ray video film and endoscopic findings, the delayed emptying was thought to be due to poor drainage of the efferent loop resulting from the post-operative adhesions.

CONCLUSIONS

The present study revealed that delayed emptying is associated with postprandial symptoms and with poor food intake. The examination of gastric emptying is useful in evaluating or predicting the postoperative status.

Authors+Show Affiliations

2nd Department of Surgery, Kansai Medical University, Osaka, Japan.No 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

9222712

Citation

Nakane, Y, et al. "Emptying of the Jejunal Pouch as a Gastric Substitute After Total Gastrectomy for Cancer." Hepato-gastroenterology, vol. 44, no. 15, 1997, pp. 901-6.
Nakane Y, Akehira K, Okumura S, et al. Emptying of the jejunal pouch as a gastric substitute after total gastrectomy for cancer. Hepatogastroenterology. 1997;44(15):901-6.
Nakane, Y., Akehira, K., Okumura, S., Okamura, S., Osawa, T., Okusa, T., & Hioki, K. (1997). Emptying of the jejunal pouch as a gastric substitute after total gastrectomy for cancer. Hepato-gastroenterology, 44(15), 901-6.
Nakane Y, et al. Emptying of the Jejunal Pouch as a Gastric Substitute After Total Gastrectomy for Cancer. Hepatogastroenterology. 1997 May-Jun;44(15):901-6. PubMed PMID: 9222712.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Emptying of the jejunal pouch as a gastric substitute after total gastrectomy for cancer. AU - Nakane,Y, AU - Akehira,K, AU - Okumura,S, AU - Okamura,S, AU - Osawa,T, AU - Okusa,T, AU - Hioki,K, PY - 1997/5/1/pubmed PY - 1997/5/1/medline PY - 1997/5/1/entrez SP - 901 EP - 6 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 44 IS - 15 N2 - BACKGROUND/AIMS: The reservoir and transit capacity of the post-gastrectomy jejunal pouch was evaluated, using a radioisotopic method, to examine the relationship of the gastric emptying to postprandial symptoms and to the food intake status. METHODOLOGY: Thirty-seven patients who had undergone total gastrectomy for cancer (Roux-Y reconstruction, 8; Hunt- Lawrence pouch and Roux-Y, 15; pouch interposition, 5; modified pouch interposition, 9) were retrospectively studied. Based on the percent retention in the gastric substitute, the emptying curves were classed as showing delayed, intermediate, and rapid emptying types. RESULTS: All of the patients with pouch reconstruction showed either delayed or intermediate emptying. High frequency of the sensation of epigastric fullness, nausea, or vomiting was demonstrated in the patients with delayed emptying (p < 0.01). The patients with delayed emptying showed poor food intake compared to those with intermediate emptying (p < 0.05). Given the X-ray video film and endoscopic findings, the delayed emptying was thought to be due to poor drainage of the efferent loop resulting from the post-operative adhesions. CONCLUSIONS: The present study revealed that delayed emptying is associated with postprandial symptoms and with poor food intake. The examination of gastric emptying is useful in evaluating or predicting the postoperative status. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/9222712/Emptying_of_the_jejunal_pouch_as_a_gastric_substitute_after_total_gastrectomy_for_cancer_ L2 - https://medlineplus.gov/stomachcancer.html DB - PRIME DP - Unbound Medicine ER -