Usefullness of Jejunal Pouch Reconstruction After Total Gastrectomy

Shinya Adachi, Takahiko Kawashima, Tomoyoshi Ishikawa, Azusa Ozaki

Department of Surgery, Kinu Medical Association Hospital

In order to resolve major complaints after total gastric resection, e.g., heartburn, reduction of food capacity and body weight loss, we performed jejunal pouch-Y reconstruction with GIA in 12 patients with gastric carcinoma. We compared this pouch group with a ρ-Roux-Y reconstruction group as to body weight change, red blood cell count and concentrations of TP, ALB, CHO and TG. We also asked the patients about their postoperative symptoms and effects on nutrition. The patients in the pouch group had greater eating capacity, less heart burn and faster recovery of body weight than those of the Roux-Y group. There were no significant differences in red blood cell count, TP, ALB, CHO and TG. These results suggested that jejunal pouch-Y reconstruction after total gastric resection can be recommended from the standpoint of quality of life.

Key words
reconstruction after total gastric resection, jejunal pouch, small gastric syndrome

Reprint requests
Shinya Adachi Department of Surgery Institute of Clinical Medicine
University of Tsukba l-1-1, Tennoudai, Tsukuba, 305 JAPAN

Accepted
May 11, 1994

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