Usefulness of reconstruction with jejunal pouch in total gastrectomy for gastric cancer in early improvement of nutritional condition

Tadahiro Nozoe, Hideaki Anai, Keizo Sugimachi

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: Roux-en-Y reconstruction with a jejunal pouch is a modified standard procedure in total gastrectomy for gastric cancer. The aim of the current study was to evaluate the usefulness of the reconstruction using a jejunal pouch in subsequent improvement of the nutritional condition of patients with gastric cancer after total gastrectomy. Methods: Sixteen patients with gastric cancer treated by total gastrectomy and reconstruction with simple Roux-en-Y from January 1993 to December 1996 and 14 patients treated by total gastrectomy and reconstruction with Roux-en-Y and jejunal pouch from January 1997 to December 1998 were investigated in regard to postoperative heartburn, changes in the body weight, and prognostic nutritional index. Results: Postoperative heartburn occurred in 1 patient (7.1%) among patients treated with Roux-en-Y and jejunal pouch and 3 (18.8%) among patients treated with simple Roux-en-Y. The body weight ratio at 1 year after operation in patients treated with Roux-en-Y and jejunal pouch (88.2% ± 4.2%) was significantly higher than that in patients treated with simple Roux-en-Y (80.0% ± 4.6%; P <0.01). The prognostic nutritional index ratios for patients treated with Roux-en-Y and jejunal pouch at 1 and 3 months after operation were 93.9% ± 9.1% and 101.7% ± 11.0%, respectively, and were significantly higher than that in patients treated with simple Roux-en-Y (86.2% ± 8.8% and 88.1% ± 8.2%, P <0.05 and P <0.01, respectively). Conclusions: Reconstruction using a jejunal pouch in total gastrectomy is useful for an early improvement of the nutritional condition of patients with gastric cancer.

Original languageEnglish
Pages (from-to)274-278
Number of pages5
JournalAmerican Journal of Surgery
Volume181
Issue number3
DOIs
Publication statusPublished - Mar 1 2001

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Gastrectomy
Stomach Neoplasms
Heartburn
Nutrition Assessment
Body Weight Changes
Body Weight

All Science Journal Classification (ASJC) codes

  • Surgery

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Usefulness of reconstruction with jejunal pouch in total gastrectomy for gastric cancer in early improvement of nutritional condition. / Nozoe, Tadahiro; Anai, Hideaki; Sugimachi, Keizo.

In: American Journal of Surgery, Vol. 181, No. 3, 01.03.2001, p. 274-278.

Research output: Contribution to journalArticle

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abstract = "Background: Roux-en-Y reconstruction with a jejunal pouch is a modified standard procedure in total gastrectomy for gastric cancer. The aim of the current study was to evaluate the usefulness of the reconstruction using a jejunal pouch in subsequent improvement of the nutritional condition of patients with gastric cancer after total gastrectomy. Methods: Sixteen patients with gastric cancer treated by total gastrectomy and reconstruction with simple Roux-en-Y from January 1993 to December 1996 and 14 patients treated by total gastrectomy and reconstruction with Roux-en-Y and jejunal pouch from January 1997 to December 1998 were investigated in regard to postoperative heartburn, changes in the body weight, and prognostic nutritional index. Results: Postoperative heartburn occurred in 1 patient (7.1{\%}) among patients treated with Roux-en-Y and jejunal pouch and 3 (18.8{\%}) among patients treated with simple Roux-en-Y. The body weight ratio at 1 year after operation in patients treated with Roux-en-Y and jejunal pouch (88.2{\%} ± 4.2{\%}) was significantly higher than that in patients treated with simple Roux-en-Y (80.0{\%} ± 4.6{\%}; P <0.01). The prognostic nutritional index ratios for patients treated with Roux-en-Y and jejunal pouch at 1 and 3 months after operation were 93.9{\%} ± 9.1{\%} and 101.7{\%} ± 11.0{\%}, respectively, and were significantly higher than that in patients treated with simple Roux-en-Y (86.2{\%} ± 8.8{\%} and 88.1{\%} ± 8.2{\%}, P <0.05 and P <0.01, respectively). Conclusions: Reconstruction using a jejunal pouch in total gastrectomy is useful for an early improvement of the nutritional condition of patients with gastric cancer.",
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AB - Background: Roux-en-Y reconstruction with a jejunal pouch is a modified standard procedure in total gastrectomy for gastric cancer. The aim of the current study was to evaluate the usefulness of the reconstruction using a jejunal pouch in subsequent improvement of the nutritional condition of patients with gastric cancer after total gastrectomy. Methods: Sixteen patients with gastric cancer treated by total gastrectomy and reconstruction with simple Roux-en-Y from January 1993 to December 1996 and 14 patients treated by total gastrectomy and reconstruction with Roux-en-Y and jejunal pouch from January 1997 to December 1998 were investigated in regard to postoperative heartburn, changes in the body weight, and prognostic nutritional index. Results: Postoperative heartburn occurred in 1 patient (7.1%) among patients treated with Roux-en-Y and jejunal pouch and 3 (18.8%) among patients treated with simple Roux-en-Y. The body weight ratio at 1 year after operation in patients treated with Roux-en-Y and jejunal pouch (88.2% ± 4.2%) was significantly higher than that in patients treated with simple Roux-en-Y (80.0% ± 4.6%; P <0.01). The prognostic nutritional index ratios for patients treated with Roux-en-Y and jejunal pouch at 1 and 3 months after operation were 93.9% ± 9.1% and 101.7% ± 11.0%, respectively, and were significantly higher than that in patients treated with simple Roux-en-Y (86.2% ± 8.8% and 88.1% ± 8.2%, P <0.05 and P <0.01, respectively). Conclusions: Reconstruction using a jejunal pouch in total gastrectomy is useful for an early improvement of the nutritional condition of patients with gastric cancer.

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