Distal pouch reconstruction with transverse jejunoplasty after experimental gastrectomy

Hackert, Thilo; Dovzhanskiy, Dmitriy I.; Tudor, Ştefan; Heiser, Felix; Bergmann, G; Soliman, Hisham M.; Schneider, Lutz; Werner, J. A.

doi:10.1007/s00423-011-0826-3

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…Хирургические методики, позволяющие восстановить естественный пассаж пищи после ГЭ, не получили широкого распространения, однако разработка способов физиологической реконструкции после субтотального и тотального удаления желудка продолжается [6,19]. У истоков физиологического направления реконструктивной хирургии желудка в 30-е годы XX столетия стояли отечественные хирурги П.А.…”

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Jejunogastroplasty as an alternative method of gastrointestinal tract reconstruction after gastrectomy

Ruchkin

Yan

2015

Khir. Z. im. N.I. Pirogova

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Immediate results did not significantly differ in the both groups. Blood loss was 528±61.0 and 507±71.2 ml, incidence of complications--20.0 and 6.7%, frequency of esophagostomy failure--3.3% and 0, postoperative mortality rate--3.3% and 0, duration of postoperative hospital-stay--12.4±1.3 and 10.9±1.2 days respectively (p<0.05). In remote postoperative period the number of patients with stable body mass index or its positive changes was 52.9 and 81.8% in control and main groups, with dumping syndrome--47.1 and 9.1%, with diarrhea--35.3 and 4.5% respectively (p<0.05). Index of good state of health in main group was 68.2%, in control group--17.6% (p<0.05). In authors' opinion safety and physiological efficiency of jejunogastroplasty allow you considering its priority for primary reconstruction after gastrectomy and alternativeness to Roux-en-Y technique.

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Jejunogastroplasty as an alternative method of gastrointestinal tract reconstruction after gastrectomy

Ruchkin

Yan

2015

Khir. Z. im. N.I. Pirogova

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Immediate and long-term results of proximal gastric resection depending on the methods of the digestive tract continuity restoring

Тишакова¹,

Ruchkin²,

Бондаренко³

2021

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Proximal gastric resection (PGR) is still one of the most difficult and dangerous surgical interventions, and it is the only method of curative treatment of diseases of the cardiac part of the stomach in many cases. 5 types of gastrointestinal reconstruction are mainly performed after PRG: submerged rectal esophagogastroanastomosis, antireflux interposition of the jejunal segment, interposition of the jejunal segment of the jejunal pocket, interposition of the jejunal segment as a double tract and reconstruction with the formation of a gastric tube. Modern literature includes many works devoted to the development of methods of physiological reconstruction after subtotal and total removal of the stomach; however, none of the existing methods is recognized as optimal. Among the main indicators characterizing the effectiveness of PGR are the frequency and severity of the development of a large group of functional disorders, characterized as «diseases of the operated stomach», or «post-gastro-resection disorders», which significantly worsen the quality of life (QOL) and reduce the working capacity, which causes disability of the operated patients Assessment of QoL after surgery for diseases of the cardiac stomach is a fundamentally important component of monitoring the effectiveness of treatment and, therefore, allows one to determine the indications for certain types of interventions. The available world scientific literature does not provide convincing data on the assessment of QOL in patients after proximal resection for cardiac part of the stomach diseases, since there are no clear criteria for its assessment depending on the chosen methods and methods of reconstruction of gastrointestinal tract (GIT). In this regard, there is a need for further study of proximal resection with reconstruction of the gastrointestinal tract in surgical diseases of the cardiac part of the stomach on the basis of analysis of immediate and long-term results, as well as the quality of life of patients who underwent these surgical interventions.

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Distal pouch reconstruction with transverse jejunoplasty after experimental gastrectomy

Abstract: The distal jejunal pouch after total gastrectomy offers advantages with respect to bowel passage and postoperative nutrition status compared to standard Roux-en-Y reconstruction. The combination of a distal pouch and transverse jejunoplasty may provide additional functional benefits.

Cited by 2 publications

References 15 publications

Jejunogastroplasty as an alternative method of gastrointestinal tract reconstruction after gastrectomy

Jejunogastroplasty as an alternative method of gastrointestinal tract reconstruction after gastrectomy

Immediate and long-term results of proximal gastric resection depending on the methods of the digestive tract continuity restoring

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