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 language | English |
|---|---|
| Pages (from-to) | 274-278 |
| Number of pages | 5 |
| Journal | American Journal of Surgery |
| Volume | 181 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Mar 1 2001 |
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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 journal › Article
}
TY - JOUR
T1 - Usefulness of reconstruction with jejunal pouch in total gastrectomy for gastric cancer in early improvement of nutritional condition
AU - Nozoe, Tadahiro
AU - Anai, Hideaki
AU - Sugimachi, Keizo
PY - 2001/3/1
Y1 - 2001/3/1
N2 - 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.
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.
UR - http://www.scopus.com/inward/record.url?scp=0035270397&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035270397&partnerID=8YFLogxK
U2 - 10.1016/S0002-9610(01)00554-2
DO - 10.1016/S0002-9610(01)00554-2
M3 - Article
C2 - 11376586
AN - SCOPUS:0035270397
VL - 181
SP - 274
EP - 278
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 3
ER -