1. Roux-en-Y gastrojejunostomy using modified hemi-double stapling
- Author
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Dong Heon Kim, Suk Kim, Dong-Il Kim, Dae Hwan Kim, Tae-Yong Jeon, and Mun-Sup Sim
- Subjects
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 - 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.
- Published
- 2009