Jejunogastroplasty as an alternative method of gastrointestinal tract reconstruction after gastrectomy

Abstract

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.

Functional results of digestive tract reconstruction after gastrectomy

“…Для снижения степени тяжести постгастрэктомических осложнений разработано более 70 модификаций вариантов гастропластики, которые условно можно разделить на способы с включением в пассаж принимаемой пищи двенадцатиперстной кишки и без такового. Столь большой выбор свидетельствует об отсутствии единства взглядов, а также о неудовлетворительных функциональных результатах предлагаемых способов [7,8].…”