Development of an Ulcer in the Side-to-side Anastomosis of a Jejunal Pouch After Proximal Gastrectomy Reconstructed by Jejunal Interposition: Report of a Case

Surgery Today ◽  
1998 ◽  
Vol 28 (12) ◽  
pp. 1270-1273
Author(s):  
Takahiro Yasoshima ◽  
Ryuichi Denno ◽  
Hideki Ura ◽  
Mitsuhiro Mukaiya ◽  
Koji Yamaguchi ◽  
...  
Keyword(s):  
Proximal Gastrectomy ◽  
Jejunal Interposition ◽  
Jejunal Pouch

scholarly journals RECONSTRUCTION AFTER PROXIMAL GASTRECTOMY: COMPARISON WITH SINGLE LOOP JEJUNAL INTERPOSITION AND JEJUNAL POUCH INTERPOSITION

2004 ◽  
Vol 65 (9) ◽  
pp. 2294-2298 ◽  
Author(s):  
Hitoshi KAMEYAMA ◽  
Atsushi NASHIMOTO ◽  
Hiroshi YABUSAKI ◽  
Yoshiaki TSUCHIYA ◽  
Yasumasa TAKII ◽  
...  
Keyword(s):  
Proximal Gastrectomy ◽  
Jejunal Interposition ◽  
Jejunal Pouch ◽  
Single Loop ◽  
Jejunal Pouch Interposition

Development of an ulcer in the side-to-side ansatomosis of a jejunal pouch after proximal gastrectomy reconstructed by jejunal interposition: Report of a case

Surgery Today ◽  
1998 ◽  
Vol 28 (12) ◽  
pp. 1270-1273 ◽  
Author(s):  
Takahiro Yasoshima ◽  
Ryuichi Denno ◽  
Hideki Ura ◽  
Mitsuhiro Mukaiya ◽  
Koji Yamaguchi ◽  
...  
Keyword(s):  
Proximal Gastrectomy ◽  
Jejunal Interposition ◽  
Jejunal Pouch

A Pilot Study Comparing Jejunal Pouch and Jejunal Interposition Reconstruction after Proximal Gastrectomy

2010 ◽  
Vol 27 (6) ◽  
pp. 502-508 ◽  
Author(s):  
Ryo Takagawa ◽  
Chikara Kunisaki ◽  
Jun Kimura ◽  
Hirochika Makino ◽  
Takashi Kosaka ◽  
...  
Keyword(s):  
Pilot Study ◽  
Proximal Gastrectomy ◽  
Jejunal Interposition ◽  
Jejunal Pouch ◽  
Jejunal Interposition Reconstruction

scholarly journals Comparative Studies between Jejunal Interposition and Jejunal Pouch Interposition after Proximal Gastrectomy.

1999 ◽  
Vol 32 (10) ◽  
pp. 2309-2313 ◽  
Author(s):  
Naoto Senmaru ◽  
Takayuki Morita ◽  
Yuji Miyasaka ◽  
Miyoshi Fujita ◽  
Hiroyuki Kato
Keyword(s):  
Comparative Studies ◽  
Proximal Gastrectomy ◽  
Jejunal Interposition ◽  
Jejunal Pouch ◽  
Jejunal Pouch Interposition

scholarly journals Proximal gastrectomy with gastric tube reconstruction or jejunal interposition reconstruction in upper-third gastric cancer: which offers better short-term surgical outcomes?

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhiguo Li ◽  
Yan Ma ◽  
Guiting Liu ◽  
Ming Fang ◽  
Yingwei Xue
Keyword(s):  
Gastric Cancer ◽  
Reflux Esophagitis ◽  
Surgical Outcomes ◽  
Gastric Tube ◽  
Proximal Gastrectomy ◽  
Jejunal Interposition ◽  
Short Term ◽  
Jejunal Interposition Reconstruction ◽  
Upper Third ◽  
Gastric Tube Reconstruction

Abstract Objective Proximal gastrectomy acts as a function-preserving operation for upper-third gastric cancer. The aim of this study was to compare the short-term surgical outcomes between proximal gastrectomy with gastric tube reconstruction and proximal gastrectomy with jejunal interposition reconstruction in upper-third gastric cancer. Methods A retrospective review of 301 patients who underwent proximal gastrectomy with jejunal interposition (JI) or gastric tube (GT) at Harbin Medical University Cancer Hospital between June 2007 and December 2016 was performed. The Gastrointestinal Symptom Rating Scale (GSRS) and Visick grade were used to evaluate postgastrectomy syndromes. Gastrointestinal fiberoscopy was used to evaluate the prevalence and severity of reflux esophagitis based on the Los Angeles (LA) classification system. Results The JI group had a longer operation time than the GT group (220 ± 52 vs 182 ± 50 min), but no significant difference in blood loss was noted. Compared to the GT group, the Visick grade and GSRS score were significantly higher. Reflux esophagitis was significantly increased in the GT group compared with the JI group. Conclusion Proximal gastrectomy is well tolerated with excellent short-term outcomes in patients with upper-third gastric cancer. Compared with GT construction, JI construction has clear functional advantages and may provide better quality of life for patients with upper-third gastric cancer.

Chronic outcome of proximal gastrectomy with jejunal pouch interposition in dogs

2003 ◽  
Vol 112 (2) ◽  
pp. 122-130 ◽  
Author(s):  
Tsuyoshi Hoshikawa ◽  
Ryuichi Denno ◽  
Kouji Yamaguchi ◽  
Hideki Ura ◽  
Koichi Hirata
Keyword(s):  
Proximal Gastrectomy ◽  
Jejunal Pouch ◽  
Jejunal Pouch Interposition

Endoscopic evaluation of reconstruction after proximal gastrectomy for cancer: Gastric tube versus jejunal interposition

2001 ◽  
Vol 10 (4) ◽  
pp. 191-194
Author(s):  
Kenji Kakisako ◽  
Yoichi Tamura ◽  
Takeshi Katsuta ◽  
Tetsuji Kai ◽  
Hideyuki Tanimura ◽  
...  
Keyword(s):  
Gastric Tube ◽  
Proximal Gastrectomy ◽  
Jejunal Interposition ◽  
Endoscopic Evaluation ◽  
Tube Versus

scholarly journals Critical Evaluation of Jejunal Pouch Interposition after Proximal Gastrectomy for Early Gastric Cancer.

2001 ◽  
Vol 34 (11) ◽  
pp. 1568-1576 ◽  
Author(s):  
Hiroshi Yabusaki ◽  
Atsushi Nashimoto ◽  
Otsuo Tanaka ◽  
Yasumasa Takii ◽  
Yoshiaki Tsuchiya ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Proximal Gastrectomy ◽  
Critical Evaluation ◽  
Jejunal Pouch ◽  
Jejunal Pouch Interposition

scholarly journals Reconstruction Methods and Complications of Esophagogastrostomy and Jejunal Interposition in Proximal Gastrectomy for Gastric Cancer: A Meta-Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Nan Du ◽  
Pei Wu ◽  
Pengliang Wang ◽  
Yuwei Du ◽  
Kai Li ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lower Risk ◽  
Meta Analysis ◽  
Proximal Gastrectomy ◽  
Operating Time ◽  
Perioperative Period ◽  
Jejunal Interposition ◽  
Cochrane Library ◽  
Reconstruction Methods ◽  
Significant Difference

Background. Proximal gastrectomy is used for the treatment of primary gastric cancer by open or laparoscopic surgery in the upper third of the stomach. Esophagogastrostomy (EG) or jejunal interposition (JI) is widely used in various reconstruction methods after proximal gastrectomy. We conducted a meta-analysis of EG and JI for treatment of gastric cancer. Materials and Methods. A search of PubMed, Embase, MEDLINE, J-STAGE, and Cochrane Library identified retrospective series on EG and JI. Weight mean differences (WMDs), odds ratios (ORs), and 95% confidence intervals (CIs) were used to analyze the operation-related data and postoperative complications. Heterogeneity was evaluated by the I2 test, and potential publication bias was assessed with Egger regression tests and sensitivity analysis. Results. Eight studies were selected, and 496 patients were included. EG group benefits were 44.81 min shorter operating time (P<0.001), 56.58 mL less blood loss (P=0.03), and 7.4 days shorter hospital stay time (P<0.001) than the JI group. Between the two groups, there was no significant difference in anastomotic leakage; otherwise, the EG group had a lower risk of anastomotic stenosis (OR=0.44, 95%CI=0.20 to 0.97, P=0.04), lower risk of intestinal obstruction (OR=0.07, 95%CI=0.01 to 0.43, P=0.004), and higher risk of reflux esophagitis (OR=2.47, 95%CI=1.07 to 5.72, P=0.03). Conclusion. The results of our study indicated that EG has significant advantages during the perioperative period and in short-term outcomes compared to JI.

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