Abstract | BACKGROUND: METHODS: A consecutive series of 42 patients who underwent distal gastrectomy for gastric cancer was studied. Twenty-two patients had a Billroth I procedure before January 1994, and 20 patients had isoperistaltic jejunal interposition using a 10-12-cm segment after January 1994. RESULTS: The mean operating time was 260 min for Billroth I and 352 min for jejunal interposition. No serious postoperative complications arose. Reflux gastritis occurred in 19 patients after Billroth I but in none after jejunal interposition. Five patients in the Billroth I group had complaints consistent with dumping syndrome, compared with none after jejunal interposition. The barium gastric emptying time was significantly shorter after Billroth I (mean(s.d.) 269(225)s) than after jejunal interposition (736(479) s) (P < 0.01). CONCLUSION: Jejunal interposition prevented reflux gastritis and inhibited rapid gastric emptying. Postgastrectomy syndromes were effectively prevented by this reconstruction procedure.
|
Authors | Y Morii, T Arita, K Shimoda, K Yasuda, Y Matsui, M Inomata, S Kitano |
Journal | The British journal of surgery
(Br J Surg)
Vol. 87
Issue 11
Pg. 1576-9
(Nov 2000)
ISSN: 0007-1323 [Print] England |
PMID | 11091248
(Publication Type: Journal Article)
|
Topics |
- Adult
- Afferent Loop Syndrome
(prevention & control)
- Aged
- Anastomosis, Surgical
(methods)
- Body Weight
- Dumping Syndrome
(prevention & control)
- Esophagitis
(prevention & control)
- Female
- Gastritis
(prevention & control)
- Humans
- Jejunum
(surgery)
- Male
- Middle Aged
- Postgastrectomy Syndromes
(prevention & control)
- Stomach Neoplasms
(surgery)
- Syndrome
|