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

研究成果: Article査読

9 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)1797-1799
ページ数3
ジャーナルHepato-Gastroenterology
60
127
DOI
出版ステータスPublished - 2013 10

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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