Application of the pylorus-preserving subtotal gastrectomy for reconstruction of digestive tract with interposition of jejunum
- VernacularTitle:保留幽门间置空肠重建消化道在次全胃切除术中的应用
- Author:
Chaojun ZHANG
;
Yunsheng LUO
;
Haiyan GE
;
Liming WANG
;
- Publication Type:Journal Article
- Keywords:
gastric tumor;
surgery;
subtotal gastrectomy;
reconstruction of digestive tract
- From:Journal of Third Military Medical University
1983;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To find out the methods for the reconstruction of digestive tract following subtotal gastrectomy. Methods The clinical data of 17 patients with carcinoma of gastric fundus and cardia carcinoma undergoing transabdominal pylorus preserving subtotal gastrectomy for the reconstruction of digestive tract with interposition of jejunum from March 1999 to July 2002 were analyzed retrospectively. Results No death, no stoma fistula, nor constriction were found after operation. All patients were discharged after recovery. Half a year later, patients could eat food of about 200-300 g at each meal (3 or 4 times a day). No burning pain in the postbreast bone, phenomenon of bile reflux, empty disorder, nor dumping syndrome were found after meal. No anemia was found in all patients, and their body weight restored to the preoperative normal level. Conclusion The pylorus reserving transabdominal subtotal gastrectomy for the reconstruction digestive tract with interposition of jejunum can result in satisfactory surgical outcomes if the indications are strictly controlled.
