Comparative Study on Three Types of Alimentary Reconstruction After Total Gastrectomy

H, Wei; Wei, Bo; Zheng, Zongheng; Zheng, Feng; Qiu, Weiliang; Guo, Weijian; Wang, Tianbao; Xu, Jie; Chen, Tufeng

doi:10.1007/s11605-008-0548-1

Cited by 14 publications

(3 citation statements)

References 14 publications

(15 reference statements)

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“…For those patients with whole gastric cancer, proximal gastric cancer and diffuse gastric cancer, total gastrectomy remains the main curative therapy, particularly for malignant tumors occurring at the gastric-esophageal junction. The majority of clinicians now recommend total gastrectomy for these patients to reduce gastric reflux (12,13). Previous findings indicated that patients requiring total gastrectomy were usually diagnosed with late stage cancer by pathological observations (4), necessitating post-operative chemotherapy.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of XELOX and FOLFOX6 adjuvant chemotherapy following radical total gastrectomy

Chen

Feng

et al. 2012

Oncol Lett

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Section: Discussionmentioning

confidence: 99%

Efficacy and safety of XELOX and FOLFOX6 adjuvant chemotherapy following radical total gastrectomy

Chen

Feng

et al. 2012

Oncol Lett

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“…They have been designed to improve patients' lives post gastrectomy and to attempt to maintain disease free progression, improving overall survival. Hong bo Wei et al reported that over seventy (70) surgical procedures currently exist for the management of gastric cancer after total or subtotal gastrectomy [ 3 ]. However, the optimal digestive reconstructive method remains a matter of debate.…”

Section: Introductionmentioning

confidence: 99%

A review on double tract reconstruction after proximal gastrectomy for proximal gastric cancer

Lewis

Dong

2022

Annals of Medicine &Amp; Surgery

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“…Most methods of forming an esophageal-intestinal anastomosis are aimed at increasing its reliability and do not provide for the creation of an anti-reflux mechanism that provides physiological, batch evacuation of food [9,10]. Prevention of functional impairment after gastrectomy is estimated as an exceptional parameter for improving the quality of life of patients who have undergone an already complicated surgical procedure [8,11].…”

Section: Introductionmentioning

confidence: 99%

Prevention of Reflux Disease After Operations On Gastric And Intestinal Tract

Мартынов¹

2020

CMRR

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Creating anastomoses between the hollow organs of the abdominal cavity, abdominal formations of the retroperitoneal space and the jejunum always raises the question of preventing reflux from the jejunum into the drained cavity of the esophagus, stomach, gallbladder, external hepatic ducts, cysts of the liver and pancreas. After surgery, any reflux becomes pathological. Reflux is an obligate precancer. Thus, the reflux of bile and pancreatic juices in the stomach, the stump of the stomach and esophagus contributes to the occurrence of reflux esophagitis, reflux gastritis, ulcers and gastric cancer or its stump. After internal drainage of the cavity formation in the jejunum, postoperative reflux disease develops, which is caused by the actions of the surgeon who tried to help the patient sincerely. This allowed such states to be defined as “iatrogenic postoperative reflux disease”. The purpose of this work was to develop and introduce into practice the “plug” on the resulting loop of the jejunum, which does not migrate into the lumen of the intestine, with internal drainage of the hollow organs of the abdominal cavity and abdominal formations of the retroperitoneal space and evaluate the clinical results. As a result, the authors have developed a method for creating a “plug” on the jejunum loop, which is used for drainage, studies are being conducted on its safety, adequacy of functioning, general accessibility, and clinical situations are analyzed. For drainage of the abdominal formation impose a fistula between it and the jejunum loop 40–50 cm from the ligament of Treitz. We form an inter-intestinal fistula according to Brown, above which the length leading to a drained formation of the area of the jejunum is about 10 cm, in the middle of which we impose a “plug”. The length of the small intestine section which diverts from the drained formation to the inter-intestinal brown anastomosis is about 30 cm. To form a “plug”, we use the free area of the greater omentum, through which we perform a ligature of non-absorbable polypropylene material by vcol-vykola. The developed method of forming a "plug" does not cause abrupt ischemic changes in the area of operation, followed by necrosis of the intestinal wall and migration of the "plug" into the intestinal lumen, and its effectiveness has been proven using clinical observations, microcirculation studies, water test results and X-ray examination. The method of creating a "stub" is promising for the internal drainage of abdominal cavity formations and retroperitoneal space, for the formation of areflux nutrient eunostoma.

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Comparative Study on Three Types of Alimentary Reconstruction After Total Gastrectomy

Abstract: Orr-type Roux-en-Y reconstruction method can avoid reflux esophagitis, and the procedure is simpler than the other two methods. Therefore, Orr-type Roux-en-Y reconstruction can be recommended as an adoptable method of digestive reconstruction after total gastrectomy for gastric cancer.

Cited by 14 publications

References 14 publications

Efficacy and safety of XELOX and FOLFOX6 adjuvant chemotherapy following radical total gastrectomy

Efficacy and safety of XELOX and FOLFOX6 adjuvant chemotherapy following radical total gastrectomy

A review on double tract reconstruction after proximal gastrectomy for proximal gastric cancer

Prevention of Reflux Disease After Operations On Gastric And Intestinal Tract

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