Proximal gastrectomy with jejunal interposition and TGRY anastomosis for proximal gastric cancer

Zhao, Ping; Xiao, Shiji; Ling-chao, Tang; Ding, Zhi; Zhou, Xiang; Chen, Xiao

doi:10.3748/wjg.v20.i25.8268

Cited by 28 publications

(23 citation statements)

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“…This study also found that hemoglobin levels in the LAPG group were significantly higher 2 years after surgery, in agreement with previous reports [25][26][27]. LAPG results in the maintenance of Castle intrinsic factor and the duodenal passage of food, which is very important for the absorption of dietary iron [28].…”

Section: Discussionsupporting

confidence: 82%

“…In Korea, Ahn et al [24] concluded that LAPG with double-tract reconstruction is a feasible and acceptable method for treating proximal early gastric cancer. In China, Zhao et al [25] concluded that proximal gastrectomy with jejunal interposition is a safe, radical surgical method for proximal gastric cancer. Gastroesophageal acid reflux seldom occurs after proximal gastrectomy with jejunal interposition or double-tract reconstruction, so that routine acid control such as PPI administration is not required.…”

Section: Discussionmentioning

confidence: 99%

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Potential benefits of laparoscopy-assisted proximal gastrectomy with esophagogastrostomy for cT1 upper-third gastric cancer

et al. 2015

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Potential benefits of laparoscopy-assisted proximal gastrectomy with esophagogastrostomy for cT1 upper-third gastric cancer

et al. 2015

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“…EJ after PG is similar to Roux-en-Y EJ after TG in terms of anastomosis-related late complications (0~10.2% vs 1.8~8.7%). 18,[29][30][31] Although abdominal fullness, discomfort rumbling, and hiccups are more frequently found after EJ in PG due to the disturbance of food passage by the interposed bowel. 9…”

Section: Discussionmentioning

confidence: 99%

Function-Preserving Surgery in Gastric Cancer

Bueno

Park

Ahn

et al. 2018

J Minim Invasive Surg

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The rising incidence of early gastric cancer has enabled the development of function-preserving gastrectomy with the focus on post gastrectomy quality of life and adherence to sound oncologic principles. It is concurrent with the growing popularity of minimally invasive surgery; and both are commonly used together. The different kinds of function-preserving gastrectomy included in this review are: pylorus-preserving and proximal gastrectomy, vagus nerve preservation, sentinel node navigation, and various endoscopic & minimally-invasive techniques. In this article the indications, techniques, oncologic safety, functional benefit, and outcomes of each kind of function-preserving gastrectomy are discussed.

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“…The 13th edition of Guidelines for the Treatment of Gastric Cancer in Japan has classified numbers 5, 6, 12a, 12b, and 14v lymph nodes into the D3 lymph nodes of AEG [11]. Therefore, it was feasible to perform limited proximal gastrectomy D1+ surgery toward AEGII/III GC patients [12, 13]. …”

Section: Discussionmentioning

confidence: 99%

Phase I Clinical Research of Jejunal Interposition in Adenocarcinoma of the Esophagogastric Junction II/III Proximal Gastrectomy

Tao

Dong

2016

Gastroenterology Research and Practice

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Objective. To investigate the feasibility and specific methods of single-tract jejunal interposition between esophagus and remnant stomach (ers-STJI) in adenocarcinoma of the esophagogastric junction (AEG) II/III proximal gastrectomy. Methods. 15 AEG II/III gastric cancer (GC) patients in phase T1-3N0M0 with tumor size <5 cm were selected and they underwent proximal gastrectomy with ers-STJI from August 2013 to August 2014. Results. All of the 15 patients successfully completed GC R0 proximal gastrectomy with ers-STJI and no operative death or no significant complication occurred; one patient had anastomotic inflammatory granuloma. The digestive tract reconstruction time was 29.5 ± 5.7 min; the intraoperative blood loss was 96.7 ± 20.2 mL, and the number of lymph node dissections was 21.3 ± 3.0; the postoperative flatus time was 48.2 ± 11.9 h; the average length of hospital stay was 10.7 ± 2.3 d, and the average hospital stay cost was 60 ± 3 thousands. All of the patients were followed up for 12 months, and their postoperative single food intake, body weight, hemoglobin, and albumin were all recovered to the preoperative levels. Conclusions. The applications of ers-STJI in proximal gastrectomy were safe and feasible, and the length of jejunal interposition could be 15–25 cm.

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Proximal gastrectomy with jejunal interposition and TGRY anastomosis for proximal gastric cancer

Abstract: PGJI is a safe, radical surgical method for proximal gastric cancer and leads to better outcomes in terms of the single-meal food intake and hemoglobin level, compared with TGRY in the short term.

Cited by 28 publications

References 0 publications

Potential benefits of laparoscopy-assisted proximal gastrectomy with esophagogastrostomy for cT1 upper-third gastric cancer

Potential benefits of laparoscopy-assisted proximal gastrectomy with esophagogastrostomy for cT1 upper-third gastric cancer

Function-Preserving Surgery in Gastric Cancer

Phase I Clinical Research of Jejunal Interposition in Adenocarcinoma of the Esophagogastric Junction II/III Proximal Gastrectomy

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