scholarly journals Laparoscopic Proximal Gastrectomy With Gastric Tube Reconstruction

2016 ◽  
Vol 20 (3) ◽  
pp. e2016.00046 ◽  
Author(s):  
Yoshitake Ueda ◽  
Norio Shiraishi ◽  
Manabu Toujigamori ◽  
Hidefumi Shiroshita ◽  
Tsuyoshi Etoh ◽  
...  
Keyword(s):  
Gastric Tube ◽  
Proximal Gastrectomy ◽  
Laparoscopic Proximal Gastrectomy ◽  
Gastric Tube Reconstruction

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.

Proximal Gastrectomy and Gastric Tube Reconstruction for Early Cancer of the Gastric Cardia

1999 ◽  
Vol 16 (6) ◽  
pp. 468-470 ◽  
Author(s):  
Yosuke Adachi ◽  
Takeshi Katsuta ◽  
Masanori Aramaki ◽  
Akio Morimoto ◽  
Norio Shiraishi ◽  
...  
Keyword(s):  
Gastric Tube ◽  
Early Cancer ◽  
Proximal Gastrectomy ◽  
Gastric Cardia ◽  
Gastric Tube Reconstruction

scholarly journals Gastric tube reconstruction prevented esophageal reflux after proximal gastrectomy

1998 ◽  
Vol 1 (1) ◽  
pp. 78-79 ◽  
Author(s):  
Norio Shiraishi ◽  
Ryuichiro Hirose ◽  
Akio Morimoto ◽  
Katsunori Kawano ◽  
Yosuke Adachi ◽  
...  
Keyword(s):  
Gastric Tube ◽  
Proximal Gastrectomy ◽  
Esophageal Reflux ◽  
Gastric Tube Reconstruction

Laparoscopy-assisted proximal gastrectomy with gastric tube reconstruction for early gastric cancer

2010 ◽  
Vol 24 (9) ◽  
pp. 2343-2348 ◽  
Author(s):  
Ryuusuke Aihara ◽  
Erito Mochiki ◽  
Teturo Ohno ◽  
Mituhiro Yanai ◽  
Yoshitaka Toyomasu ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Gastric Tube ◽  
Proximal Gastrectomy ◽  
Gastric Tube Reconstruction

scholarly journals Safety and Feasibility of Novel Reconstruction Method Using Long and Narrow Cobra- Head- Shaped Gastric Tube in Laparoscopic Proximal Gastrectomy for Cancer

2021 ◽  
Author(s):  
Yoshitake Ueda ◽  
Takahide Kawasaki ◽  
Sanshi Tanabe ◽  
Kosuke Suzuki ◽  
Shigeo Ninomiya ◽  
...  
Keyword(s):  
Conventional Method ◽  
Gastric Tube ◽  
Proximal Gastrectomy ◽  
Linear Stapler ◽  
Reconstruction Method ◽  
The Novel ◽  
Laparoscopic Proximal Gastrectomy ◽  
Direct Anastomosis ◽  
Novel Method ◽  
Method Group

Abstract Background. To clarify the safety and feasibility of laparoscopic proximal gastrectomy (LPG) with our novel reconstruction methods, clinical outcomes of this LPG were evaluated and compared to those of LPG with our conventional method. Methods. Novel method is a reconstruction with a long and narrow gastric tube with widening of the proximal side of the gastric tube created by linear stapler. Esophagogastrostomy is performed by direct anastomosis with overlap method between the posterior wall of the esophagus and anterior wall of the gastric tube using a linear stapler. In conventional method, direct anastomosis between the esophagus and a gastric tube by a circular stapler was performed. Short- and long-term outcomes of a novel method were compared with those of conventional method. Results. A total of 39 patients whom LPG was performed were enrolled in this retrospective study. The amount of blood loss in the Novel method group (n=30) was significantly less than those in the Conventional method group (n=9) (40 vs. 110 ml, p<0.01). No cases of anastomotic leakage and stenosis were observed in both groups. The cases of postoperative reflux esophagitis at 1 year after operation in the Novel group were less than those in the Conventional group (10% vs. 33%). In the Novel group, postoperative recurrence was observed in 2 patients (7%). Conclusions. LPG with novel reconstruction method using long and narrow cobra- head-shaped gastric tube can be easily performed, and may be feasible for the treatment of gastric cancer in the upper third of the stomach.

scholarly journals Surgical results of proximal gastrectomy for early-stage gastric cancer: jejunal interposition and gastric tube reconstruction

1999 ◽  
Vol 2 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Yosuke Adachi ◽  
Tokuji Inoue ◽  
Yoshiaki Hagino ◽  
Norio Shiraishi ◽  
Katsuhiro Shimoda ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Gastric Tube ◽  
Early Stage ◽  
Proximal Gastrectomy ◽  
Jejunal Interposition ◽  
Surgical Results ◽  
Gastric Tube Reconstruction

scholarly journals Proximal Gastrectomy with Gastric Tube Reconstruction or Jejunal Interposition Reconstruction in the Upper Third Gastric Cancer: Which is Better for the Surgical Short-Term Outcomes.

2021 ◽  
Author(s):  
Zhiguo Li ◽  
Yan Ma ◽  
Guiting Liu ◽  
Ming Fang ◽  
YingWei Xue
Keyword(s):  
Gastric Cancer ◽  
Reflux Esophagitis ◽  
Gastric Tube ◽  
Proximal Gastrectomy ◽  
Jejunal Interposition ◽  
Short Term ◽  
Significant Difference ◽  
Jejunal Interposition Reconstruction ◽  
Upper Third ◽  
Gastric Tube Reconstruction

Abstract Objective: Proximal gastrectomy was acted as a function-preserving operation for upper third gastric cancer. The aim of this study is to compare the surgical short-term outcomes between proximal gastrectomy with gastric tube reconstruction and proximal gastrectomy with Jejunal interposition reconstruction in the upper third gastric cancer. Methods: A retrospective review of 301 patients who underwent proximal gastrectomy with jejunal interposition (JI) or gastric tube (GT) at the 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 the post-gastrectomy syndromes. The gastrointestinal fiberoscopy was used to evaluate the prevalence and severity of reflux esophagitis by Los Angeles (LA) classification system. Results: The JI group had a longer operation time than GT group (220±52 vs 182±50 min), whereas there was no significant difference in blood loss. Compared to the GT group, the Visick grade and GSRS score were significantly higher than that of the JI group. The reflux esophagitis of GT group was significantly higher than that of the JI group. Conclusion: Proximal gastrectomy is well tolerated, with excellent short-outcomes in patients with upper third gastric cancer . C ompared with GT construction, JI construction has clear functional advantages and may provide better quality of life for patients with upper third gastric cancer.

scholarly journals CLINICAL EVALUATION OF NARROW GASTRIC TUBE RECONSTRUCTION AFTER PROXIMAL GASTRECTOMY

2008 ◽  
Vol 69 (5) ◽  
pp. 995-1002
Author(s):  
Kenji SAKOGAWA ◽  
Yasutomo NAGASUE ◽  
Shuhei ITO ◽  
Norifumi TSUTSUMI ◽  
Yasushi SUMIYOSHI ◽  
...  
Keyword(s):  
Clinical Evaluation ◽  
Gastric Tube ◽  
Proximal Gastrectomy ◽  
Gastric Tube Reconstruction
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