Reconstruction after Distal Gastrectomy by Interposition of a Double-jejunal Pouch Using a Triangulating Stapling Technique World J. Surg. Vol. 27, No. 4, April 2003

Ikeda, Masami; Ueda, Tetsuro; Yamagata, Kuniyoshi; Takatsuka, Jun; Yamaguchi, Muneyuki; Shiba, Tadaaki
April 2003
World Journal of Surgery;Apr2003, Vol. 27 Issue 4, p460
Academic Journal
Sustaining good nutrition and preventing postgastrectomy syndrome are important for increasing the quality of life after distal gastrectomy. Many surgeons have proposed surgical methods designed to enhance long-term patient quality of life. An immediate, safe method based on current physiologic reconstructive principles shown to reduce postoperative patient complaints is presented. A reconstructive method using a modified interpositioned double-jejunal pouch after distal gastrectomy in 18 cancer patients was reviewed. This method uses a triangulating stapling technique with wide end-to-side anastomosis between the residual stomach and the pouch. In all patients, the anastomosis site was without leakage or stenosis, and there were no episodes of severe reflux esophagitis, residual gastritis, or dumping syndrome. The mean pooling rate was 44.2%, and emptying half-time was 73.0 minutes. After 2 years the body weight was 91.3% of the preoperative weight, the food volume was 89.2% of normal intake, and meal frequency was 3.0 per day. This method of reconstruction is useful for immediate and safe creation of a wide anastomosis between the residual stomach and the double-jejunal pouch after distal gastrectomy and in the prevention of esophagitis and residual gastritis.


Related Articles

  • Mechanical-Stapled Versus Hand-Sutured Anastomoses in Billroth-I Reconstruction with Distal Gastrectomy. Tsunehiro Takahashi; Yoshiro Saikawa; Masashi Yoshida; Yoshihide Otani; Tetsuro Kubota; Koichiro Kumai; Masaki Kitajima // Surgery Today;Feb2007, Vol. 37 Issue 2, p122 

    AbstractPurpose??In June 2000, we started performing mechanical-stapled anastomosis (MSA) for Billroth-I reconstruction (B-I) in distal gastrectomy. Thus, we performed a retrospective study to compare the clinical outcome of MSA and conventional hand-sutured anastomosis (HA).Methods??We...

  • Chronic Gastritis: A Clinico-Pathological Classification. Correa, Pelayo // American Journal of Gastroenterology;May1988, Vol. 83 Issue 5, p504 

    Based on known histopathologic features, as well as clinical and etiopathogenic information, a classification of chronic gastritis is proposed. The following types are described: superficial gastritis, diffuse antral gastritis, postgastrectomy (reflux) gastritis, diffuse corporal atrophic...

  • Chronic Gastritis Following Resection of the Stomach. Simon, Laszlo; Figus, Albert I.; Bajtai, Attila // American Journal of Gastroenterology;Nov1973, Vol. 60 Issue 5, p477 

    In order to ascertain the frequency of atrophic stump gastritis, biopsy specimens were taken from 105 patients operated on for duodenal ulcer. Of these, 70 had a Billroth II and 85 had a Billroth 1 gastrectomy. Atrophic gastritis of the stump was found to appear earlier and in a more severe form...

  • Prospective Randomized Trial Comparing Billroth I and Roux-en-Y Procedures after Distal Gastrectomy for Gastric Carcinoma. Ishikawa, Makoto; Kitayama, Joji; Kaizaki, Shoichi; Nakayama, Hiroshi; Ishigami, Hironori; Fujii, Shin; Suzuki, Hiroyuki; Inoue, Tomomi; Sako, Akihiro; Asakage, Masahiro; Yamashita, Hiroharu; Hatono, Kenji; Nagawa, Hirokazu // World Journal of Surgery;Nov2005, Vol. 29 Issue 11, p1415 

    To determine the clinical efficacy of Roux-en-Y reconstruction (RY) after distal gastrectomy, we compared postoperative outcomes of patients who underwent RY or conventional Billroth I reconstruction (B-I). A total of 50 patients were prospectively randomized to either B-I or RY reconstruction,...

  • Influence of bile reflux and Helicobacter pylori infection on gastritis in the remnant gastric mucosa after distal gastrectomy. Abe, Hisanori; Murakami, Kazunari; Satoh, Shunzo; Sato, Ryugo; Kodama, Masaaki; Arita, Tsuyoshi; Fujioka, Toshio // Journal of Gastroenterology;Jun2005, Vol. 40 Issue 6, p563 

    Background. Two main pathogenic factors, bile reflux and Helicobacter pylon infection, have been identified in the remnant stomach, but it is still unclear which factor is important in the pathogenesis of gastritis in the remnant stomach after distal gastrectomy. Methods. In 184 patients who had...

  • Gastritis Cystica Profunda. Fonde, Edgar C.; Rodning, Charles B. // American Journal of Gastroenterology;Jun1986, Vol. 81 Issue 6, p459 

    Benign gastric pseudotumor, gastritis cystica profunda, possess malignant histological features but functionally behave benignly. The case reported herein is illustrative of this entity, but in contrast to previous reports developed without an antecedent history of gastric surgery. A cumulative...

  • How is it possible to prevent gastric mucosal injury and remnant cancer after distal gastrectomy? Kaminishi, Michio // Journal of Gastroenterology;Jun2005, Vol. 40 Issue 6, p661 

    In this article, the author discusses the influence of bile reflux and Helicobacter pylon infection on gastritis in the remnant gastric mucosa after distal gastrectomy. Prevention of bile reflux and control of H. pylon infection must be key factors for reduction of inflammatory changes in the...

  • hemigastrectomy.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p1039 

    A definition of the term "hemigastrectomy," which refers to the excision of half of the stomach, is presented.

  • ED AT LARGE. Martinez, Tracy // Bariatric Times;May 2013, Vol. 10 Issue 5, following p13 

    The article provides an answer to a question related to the mechanics of sleeve gastrectomy.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics