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Roux-en-Y Gastrojejunostomy Using Modified Hemi-Double Stapling.
- Source :
-
Digestive Surgery . 2009, Vol. 26 Issue 5, p364-368. 5p. 4 Diagrams, 1 Chart. - Publication Year :
- 2009
-
Abstract
- 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. Copyright © 2009 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]
- Subjects :
- *GASTRECTOMY
*STOMACH surgery
*CANCER patients
*BILIARY tract
*OPERATIVE surgery
Subjects
Details
- Language :
- English
- ISSN :
- 02534886
- Volume :
- 26
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Digestive Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 46807138
- Full Text :
- https://doi.org/10.1159/000232667