Long-Term Results After Surgery for Gastric Cancer with or without Jejunal Reservoir: Results of Surgery for Gastric Cancer in Kanta-Häme Central Hospital in Two Consecutive Periods without or with Jejunal Pouch Reconstruction in 1985-1998

2005 ◽  
Vol 36 (3) ◽  
pp. 147-154 ◽  
Author(s):  
Hannu Paimela ◽  
Saara Ketola ◽  
Mauri Iivonen ◽  
Timo Tomminen ◽  
Esa Könönen ◽  
...  
2002 ◽  
Vol 89 (8) ◽  
pp. 1035-1042 ◽  
Author(s):  
T. Popiela ◽  
J. Kulig ◽  
P. Kolodziejczyk ◽  
M. Sierzega

2015 ◽  
Vol 100 (5) ◽  
pp. 954-957 ◽  
Author(s):  
Takafumi Tamura ◽  
Satoshi Inagawa ◽  
Hideo Terashima ◽  
Yoshimasa Akashi ◽  
Katsuji Hisakura ◽  
...  

A 78-year-old woman with malignant lymphoma of the stomach underwent total gastrectomy with a jejunal-pouch (J-pouch) reconstruction in 1994. Twelve years after surgery the patient began to suffer epigastric distress and reflux symptoms. Eventually, she was unable to take anything by mouth. A series of diagnostic images seemed to indicate that the main cause of the dysfunction was flaccidity of the J-pouch and deformity of the outflow route induced by chronic excessive dilatation of the pouch wall. Because all conservative managements only led to temporary improvement and ended in failure, she hoped to receive the operation. We designed “pouch plasty” capable of ameliorating the pouch dysfunction. The aim of pouch plasty was to improve uneven tension of the pouch wall and repair deformity of the outflow route of the food. After the operation, the J-pouch resumed adequate drainage and had good reservoir function. More than 7 years later, the patient had no further complications.


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