Results of modified uncut Roux-en-Y reconstruction after distal gastrectomy for gastric cancer

Chikashi Shibata; Masayuki Kakyo; Makoto Kinouchi; Naoki Tanaka; Koh Miura; Takeshi Naitoh; Hitoshi Ogawa; Nobuki Yazaki; Sho Haneda; Kazuhiro Watanabe; Iwao Sasaki

doi:10.5754/hge11430

Results of modified uncut Roux-en-Y reconstruction after distal gastrectomy for gastric cancer

Chikashi Shibata, Masayuki Kakyo, Makoto Kinouchi, Naoki Tanaka, Koh Miura, Takeshi Naitoh, Hitoshi Ogawa, Nobuki Yazaki, Sho Haneda, Kazuhiro Watanabe, Iwao Sasaki

Research output: Contribution to journal › Article › peer-review

11 Citations (Scopus)

Abstract

Background/Aims: The frequent occurrence of bile gastritis and esophagitis associated with dehiscence of 'uncut' jejunal portion was of concern for "uncut" Roux-en-Y reconstruction after distal gastrectomy. Our aim was to study if our technique of a modified, uncut Roux-en-Y procedure would decrease this dehiscence. Methodology: Ten patients with gastric cancer underwent distal gastrectomy with a modified, uncut Roux-en-Y reconstruction. Transmural silk stitches were added around the staples at the "uncut" portion in attempt to prevent dehiscence of the staple line. Dehiscence of the jejunum at the enterically closed site was investigated endoscopically or fluoroscopically. Results: Mean operative time and intraoperative blood loss were 246 minutes and 381 mL, respectively. Morbidity occurred in three patients. No dehiscence was observed in any of the patients examined. Conclusions: These results suggest the possibility that our technique of a modified, uncut Roux-en-Y reconstruction after distal gastrectomy decreases dehiscence of enterically closed portion.

Original language	English
Pages (from-to)	1797-1799
Number of pages	3
Journal	Hepato-Gastroenterology
Volume	60
Issue number	127
DOIs	https://doi.org/10.5754/hge11430
Publication status	Published - 2013 Oct

Keywords

Distal gastrectomy
Gastric cancer
Roux stasis syndrome
Uncut Roux-en-Y reconstruction

ASJC Scopus subject areas

Hepatology
Gastroenterology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.5754/hge11430

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title = "Results of modified uncut Roux-en-Y reconstruction after distal gastrectomy for gastric cancer",

abstract = "Background/Aims: The frequent occurrence of bile gastritis and esophagitis associated with dehiscence of 'uncut' jejunal portion was of concern for {"}uncut{"} Roux-en-Y reconstruction after distal gastrectomy. Our aim was to study if our technique of a modified, uncut Roux-en-Y procedure would decrease this dehiscence. Methodology: Ten patients with gastric cancer underwent distal gastrectomy with a modified, uncut Roux-en-Y reconstruction. Transmural silk stitches were added around the staples at the {"}uncut{"} portion in attempt to prevent dehiscence of the staple line. Dehiscence of the jejunum at the enterically closed site was investigated endoscopically or fluoroscopically. Results: Mean operative time and intraoperative blood loss were 246 minutes and 381 mL, respectively. Morbidity occurred in three patients. No dehiscence was observed in any of the patients examined. Conclusions: These results suggest the possibility that our technique of a modified, uncut Roux-en-Y reconstruction after distal gastrectomy decreases dehiscence of enterically closed portion.",

keywords = "Distal gastrectomy, Gastric cancer, Roux stasis syndrome, Uncut Roux-en-Y reconstruction",

author = "Chikashi Shibata and Masayuki Kakyo and Makoto Kinouchi and Naoki Tanaka and Koh Miura and Takeshi Naitoh and Hitoshi Ogawa and Nobuki Yazaki and Sho Haneda and Kazuhiro Watanabe and Iwao Sasaki",

year = "2013",

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doi = "10.5754/hge11430",

language = "English",

volume = "60",

pages = "1797--1799",

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T1 - Results of modified uncut Roux-en-Y reconstruction after distal gastrectomy for gastric cancer

AU - Shibata, Chikashi

AU - Kakyo, Masayuki

AU - Kinouchi, Makoto

AU - Tanaka, Naoki

AU - Miura, Koh

AU - Naitoh, Takeshi

AU - Ogawa, Hitoshi

AU - Yazaki, Nobuki

AU - Haneda, Sho

AU - Watanabe, Kazuhiro

AU - Sasaki, Iwao

PY - 2013/10

Y1 - 2013/10

N2 - Background/Aims: The frequent occurrence of bile gastritis and esophagitis associated with dehiscence of 'uncut' jejunal portion was of concern for "uncut" Roux-en-Y reconstruction after distal gastrectomy. Our aim was to study if our technique of a modified, uncut Roux-en-Y procedure would decrease this dehiscence. Methodology: Ten patients with gastric cancer underwent distal gastrectomy with a modified, uncut Roux-en-Y reconstruction. Transmural silk stitches were added around the staples at the "uncut" portion in attempt to prevent dehiscence of the staple line. Dehiscence of the jejunum at the enterically closed site was investigated endoscopically or fluoroscopically. Results: Mean operative time and intraoperative blood loss were 246 minutes and 381 mL, respectively. Morbidity occurred in three patients. No dehiscence was observed in any of the patients examined. Conclusions: These results suggest the possibility that our technique of a modified, uncut Roux-en-Y reconstruction after distal gastrectomy decreases dehiscence of enterically closed portion.

AB - Background/Aims: The frequent occurrence of bile gastritis and esophagitis associated with dehiscence of 'uncut' jejunal portion was of concern for "uncut" Roux-en-Y reconstruction after distal gastrectomy. Our aim was to study if our technique of a modified, uncut Roux-en-Y procedure would decrease this dehiscence. Methodology: Ten patients with gastric cancer underwent distal gastrectomy with a modified, uncut Roux-en-Y reconstruction. Transmural silk stitches were added around the staples at the "uncut" portion in attempt to prevent dehiscence of the staple line. Dehiscence of the jejunum at the enterically closed site was investigated endoscopically or fluoroscopically. Results: Mean operative time and intraoperative blood loss were 246 minutes and 381 mL, respectively. Morbidity occurred in three patients. No dehiscence was observed in any of the patients examined. Conclusions: These results suggest the possibility that our technique of a modified, uncut Roux-en-Y reconstruction after distal gastrectomy decreases dehiscence of enterically closed portion.

KW - Distal gastrectomy

KW - Gastric cancer

KW - Roux stasis syndrome

KW - Uncut Roux-en-Y reconstruction

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Results of modified uncut Roux-en-Y reconstruction after distal gastrectomy for gastric cancer

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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