Feasibility and functional efficacy of distal gastrectomy with jejunal interposition for gastric cancer: a case series.
Int J Surg
; 12(5): 56-9, 2014.
Article
em En
| MEDLINE
| ID: mdl-24200755
ABSTRACT
INTRODUCTION:
Distal gastrectomy with jejunal interposition (DGJI) has been used in our institution for selected patients with gastric cancer as a function-preserving gastrectomy. The aim of this retrospective study was to clarify the feasibility and functional efficacy of DGJI.METHODS:
A retrospective analysis was performed in 61 patients who underwent DGJI between 2002 and 2011.RESULTS:
Mean operation time was 393.8 min and blood loss was 463.3 ml. Postoperative early major complications developed in 2 (3.3%) patients. The most common complication was gastric stasis, occurring in 7 (11.5%) patients. All patients with complications recovered with conservative treatment, and no operative mortality occurred. Endoscopy 1 year after operation revealed reflux gastritis in 1 patient. Reflux esophagitis was not found in any patient. However, anastomotic ulcer was found in 12 (22.2%) patients over the 1-year period after operation. No patient reported symptoms of early and late dumping syndrome, and 1 (1.9%) patient self-reported diarrhea.CONCLUSIONS:
DGJI was a feasible and safe procedure with several advantages in terms of less incidence of reflux gastritis and esophagitis, dumping syndrome and diarrhea. However, this procedure is complicated and time-consuming, and it is necessary to be aware of the potential occurrence of an anastomotic ulcer at the site of the gastrojejunostomy after DGJI.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Gástricas
/
Procedimentos de Cirurgia Plástica
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Gastrectomia
/
Jejuno
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article