Roux-en-Y gastrojejunostomy using modified hemi-double stapling
| Autor: | Dong Heon Kim, Suk Kim, Dong-Il Kim, Dae Hwan Kim, Tae-Yong Jeon, Mun-Sup Sim |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Distal gastrectomy medicine.medical_treatment Gastric Bypass digestive system Gastroenterology Bile reflux Postoperative Complications Recurrence Stomach Neoplasms health services administration Internal medicine Medical Illustration Surgical Stapling medicine Humans Aged Billroth II business.industry Reflux nutritional and metabolic diseases Anastomosis Roux-en-Y Middle Aged medicine.disease Roux-en-Y anastomosis humanities Surgery surgical procedures operative Treatment Outcome Female business Follow-Up Studies |
| Zdroj: | Digestive surgery. 26(5) |
| ISSN: | 1421-9883 |
| Popis: | For reconstruction after distal gastrectomy, the Roux-en-Y gastrojejunostomy is superior to the Billroth II gastrojejunostomy in terms of bile reflux. Roux-en-Y gastrojejunostomy prevents reflux gastritis, esophagitis, and carcinogenesis of the gastric remnant. However, the Roux-en-Y gastrojejunostomy is relatively complicated and lengthy. The authors perform a simple, safe Roux-en-Y gastrojejunostomy using modified hemi-double stapling. We applied this technique to 42 patients with gastric cancer. The average operating and reconstruction times were 172.6 ± 42.0 and 26.2 ± 4.8 min, respectively. The postoperative courses were uneventful and the patients were discharged 11.2 ± 2.4 days postoperatively. Neither leakage nor bleeding from the gastrojejunostomy has occurred postoperatively. The postoperative follow-up was 7–24 months and no local recurrence or stricture at the gastrojejunostomy site occurred. Roux-en-Y gastrojejunostomy using the modified hemi-double stapling technique can achieve reconstruction more simply, safely and quickly, and may provide an alternative reconstruction method for distal gastrectomy. |
| Databáze: | OpenAIRE |
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