Comparative Studies between Jejunal Interposition and Jejunal Pouch Interposition after Proximal Gastrectomy

Naoto Senmaru, Takayuki Morita, Yuji Miyasaka, Miyoshi Fujita and Hiroyuki Kato^*

Department of Surgery, Hokkaido Gastroenterology Hospital
^*Second Department of Surgery, Hokkaido University School of Medicine

To determine the optimum reconstruction procedure after proximal gastrectomy, the results of two different methods were compared retrospectively. 12 patients received jejunal pouch interposition (JPI) and 12 patients received single single jejunal interposition (JI). The operation time, postoperative stay, postoperative complications, postprandial symptoms, food intake in a single meal and body weight were evaluated. There were no significant differences in the operation time, postoperative stay and postoperative complications. Concerning postprandial symptoms, three patients had slight heartburn in the JPI group, one in the JI group. Three patients had dumping in the JPI group, five in the JI group. The JPI group showed a significantly lower incidence of epigastric pain, nausea, vomiting and dysphagia than the JI group. The JPI group showed greater food intake in a single meal than the JI group and significantly greater weight recovery than the JI group. Jejunal pouch interposition reconstruction after proximal gastrectomy is thus more useful for improving the postoperative quality of life than single jejunal interposition.

Key words
proximal gastrectomy, jejunal pouch interposition, quality of life, reconstruction

Reprint requests
Naoto Senmaru Department of Surgery, Hokkaido Gastroenterology Hospital 1-1 Hontyo, Sapporo, 065-0041 JAPAN

Accepted
May 25, 1999

To read the PDF file you will need Abobe Reader installed on your computer.