Clinical experience with a new method of gastric replacement following total gastrectomy

1979 ◽  
Vol 3 (6) ◽  
pp. 737-741 ◽  
Author(s):  
G. Kieninger ◽  
L. Koslowski ◽  
J. Durst ◽  
D. Kummer ◽  
K. -J. Wolf
Keyword(s):  
Total Gastrectomy ◽  
Clinical Experience ◽  
New Method ◽  
Gastric Replacement

Towards a new method for improving clinical homœopathy

1992 ◽  
Vol 81 (03) ◽  
pp. 120-126 ◽  
Author(s):  
R.A. Van Haselen ◽  
Peter Fisher
Keyword(s):  
Rheumatoid Arthritis ◽  
Information Technology ◽  
Clinical Experience ◽  
Clinical Assessment ◽  
New Method ◽  
Clinical Classification ◽  
Preliminary Results ◽  
Future Developments

AbstractMost prescribing indications in homœopathy are derived from clinical experience. There is a need to revise and update them. A new method known as systematic outcome correlation, which correlates outcome as measured by a standard clinical assessment, with prescription, is described. The method uses information technology and the Read clinical classification. Preliminary results in rheumatoid arthritis are presented. The method and results are critically examined with recommendations for future developments.

PS01.158: WHAT IS THE IDEAL RECONSTRUCTIVE TECHNIQUE FOR TYPE 2 GEJ TUMOURS—ESOPHAGOGASTROSTOMY OR ESOPHAGOJEJUNOSTOMY

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 94-94
Author(s):  
Servarayan Chandramohan ◽  
Visvarath Varadharajan ◽  
Madeshwaran Chinnathambi ◽  
Kanagavel Manickavasagam ◽  
Abishai Jebaraj ◽  
...  
Keyword(s):  
Blood Loss ◽  
Functional Outcome ◽  
Total Gastrectomy ◽  
Locally Advanced ◽  
Operating Time ◽  
Distal Margin ◽  
Gastric Replacement ◽  
Ivor Lewis ◽  
Significant Difference

Abstract Background In the management of OG junction tumors the border issue arises in type 2 cancers. It can be managed with various options like esophago gastrectomy (Ivor Lewis), transabdominal extended transhiatal gastrectomy or total esophago gastrectomy depends upon the extent strectomy of the tumor above and below. After resection the reconstruction can be either with stomach or jejunum or colon. However the functional result after either of these procedures varies. The aim of this study is to know the functional outcome of different reconstruction methods after esophagogastrectomy for locally advanced Type 2 OG junction tumours. Methods 148 consecutive patients who underwent surgery for OG junction tumors in the last 6 years were evaluated. Of them 62 locally advanced type2 OG junction tumors were included in our study. 26 underwent Ivor Levis procedure with gastric replacement. 36 underwent extended transhiatal gastrectomy with esophago jejunal anastamosis. Intra operative details like pyloroplasty, Operative time, blood loss, the distal margin, nodal clearance was noted. The functional outcome since immediate postoperative period to 1 year of follow up is reviewed retrospectively and prospectively in few cases. Results There is no significant difference in operating time, blood loss. Two patients with Partial gastrectomy had positive distal margin even though it is not statistically significant. The average number of nodes harvested is higher with total gastrectomy group with jejunal anastamosis and it is statistically significant between 2 groups (P < 0.05).The GERD is more with gastric conduit when compared to Jejunal reconstruction but the weight loss is more with jejunal reconstruction when compared with gastric reconstruction. Conclusion The functional outcome and oncological outcome are superior with jejunal reconstruction after total gastrectomy when compared with gastric reconstruction after Ivor Lewis procedure. Disclosure All authors have declared no conflicts of interest.

Safety of double and a half-layered esophagojejunal anastomosis in total gastrectomy with gastric cancer.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e16563-e16563
Author(s):  
Pengfei Ma ◽  
Yuzhou Zhao ◽  
Xijie Zhang
Keyword(s):  
Gastric Cancer ◽  
Postoperative Complications ◽  
Blood Loss ◽  
Anastomotic Leakage ◽  
Total Gastrectomy ◽  
Operating Time ◽  
New Method ◽  
Control Group ◽  
Observation Group ◽  
Esophagojejunal Anastomosis

e16563 Background: Esophageal jejunal anastomotic fistula is still one of the serious postoperative complications of gastric cancer, the incidence was 1% ~ 16.5%. The aim of this study was to evaluate the safety of double and a half layered esophagojejunal anastomosis in total gastrectomy. Methods: The new method was called double and a half layered esophagojejunal anastomosis: esophagojejunal anastomosis was performed with a tubular stapler, then the anastomosis was reinforced by absorbable suture (Full-layer continuous suture, slurry muscularis embedding). The new method was used in observation group (n = 295). In the control group(n = 469),the esophagojejunal anastomosis was performed with a tubular stapler, then reinforced by intermittent suture with absorbable sutures. Data analysis including operating time, blood loss, anastomosis time, types and cases of postoperative complications, and postoperative hospitalization time. Results: The data of 764 patients who performed radical gastrectomy between May 2015 and May 2019 were analyzed retrospectively. 1.Surgery situations: The operating time (140.66±26.96 min vs 139.61±22.75min, t= 0.581, P> 0.05) blood loss (200.61±111.03ml vs214.45±114.09ml, t= -1.481, P> 0.05), anastomosis time (20.44±4.31min vs19.92±4.58min, t= 1.573, P> 0.05), postoperative hospitalization time (15.35±6.46 d vs15.89±5.58d, t= -1.229, P> 0.05) .2. Postoperative situations: the rates of anastomotic complications in observation group was 1.69% (5/295) and 4.69% (22/469) in control group, with a statistically significant difference between two groups( χ2 = 4.768, P< 0.05). The rates of anastomotic leakage in observation group was lower than that in the control group 1.02% (3/295) vs 3.41% (16/469) ( χ2 = 4.282, P< 0.05) . The severity of anastomotic leakage, anastomotic stenosis, anastomotic bleeding were no statistically significant differences between two groups( χ 2= 2.030,1.261,0.075, P> 0.05). Total postoperative complications: 101 cases (34.24%) in the observation group, 14 cases (4.75%) with severe complications, and 1 case death. 151 cases (32.2%) in the control group, 34 cases (7.25%) with serious complications, and 2 cases death ( χ2 = 0.838, Z = -1.465, P > 0.05). Conclusions: Double and a half layered esophagojejunal anastomosis is safe and feasible in total gastrectomy, which can reduce the incidence of anastomosis complications.

scholarly journals METHOD OF SURGICAL TREATMENT OF PATIENTS WITH RECURRENT ACHILLES TENDON RUPTURES

2010 ◽  
Vol 16 (3) ◽  
pp. 126-130
Author(s):  
L. A. Rodomanova ◽  
A. Yu. Kochish ◽  
D. V. Romanov ◽  
S. V. Valetova
Keyword(s):  
Surgical Treatment ◽  
Achilles Tendon ◽  
Ankle Joint ◽  
Clinical Experience ◽  
New Method ◽  
Clinical Use ◽  
Anatomic Study ◽  
Anatomical Studies ◽  
Results Of Treatment ◽  
Tendon Ruptures

In order to justify a new method of surgical treatment of patients with recurrent and chronic Achilles tendon ruptures conducted applied topographic-anatomic study of 12 fixed and 8 fixed preparations of the lower extremities was performed. In the developed technique were carried out operations in 18 patients aged from 30 to 72 years with repeated ruptures Achilles tendon. The results of treatment were followed-up in all 18 patients in the period from 6 months to 3 years. Repeated tears of Achilles tendon were not observed. The range of motions in ankle joint reconstructed almost in its entirety. Performed topographic and anatomical studies and accumulated clinical experience allow us to recommend the proposed method for a wider clinical use.

Clinical experience in an in vitro fertilization and embryo replacement program of a new method for analysis of urinary estrogens

1987 ◽  
Vol 10 (1) ◽  
pp. 21-25
Author(s):  
Torbjorn Hillensjö ◽  
C. Chari ◽  
K. Hammarberg ◽  
L. Nilsson ◽  
P. O. Janson ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Clinical Experience ◽  
New Method ◽  
Vitro Fertilization ◽  
Embryo Replacement ◽  
Urinary Estrogens

Total gastrectomy for cancer: Is reconstruction or a gastric replacement reservoir essential?

1994 ◽  
Vol 18 (6) ◽  
pp. 883-888 ◽  
Author(s):  
Ant�nio Castro Mendes de Almeida ◽  
Noel Medina Dos Santos ◽  
Fernando Jos� Aldeia
Keyword(s):  
Total Gastrectomy ◽  
Gastric Replacement

Radiosurgery for Tumors in the Body: Clinical Experience Using a New Method

1998 ◽  
Vol 1 (1) ◽  
pp. 63-74 ◽  
Author(s):  
Henric Blomgren ◽  
Ingmar Lax ◽  
Håkan Göranson ◽  
Thomas Kr\\sgmaelig;pelien ◽  
Bo Nilsson ◽  
...  
Keyword(s):  
Clinical Experience ◽  
The Body ◽  
New Method
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