[Continent esoduodenal intubation after total gastrectomy for cancer. An African experience apropos of an initial series of 17 cases].
On the basis of a series of 17 cases in which GI continuity was restored by a containing esoduodenal intubation, the authors describe the technique, which consists in the approximation of the duodenum opposite the diaphragm. Esophageal intubation in the duodenum, the margins of which have been everted, allows preserving the physiological circuit, producing a new container within 3 months and ensuring an effective protection against reflux. The 17 patients had undergone total gastrectomy for advanced cancer, Gutman's stage II in 80% of all cases and stage III or more in the other 20%. 88% of the tumors were adenocarcinomas. There were no clinical or radiological signs of reflux, and no esophagitis was noted on repeated endoscopies. The postoperative mortality rate was 5.8%. The shortest time lapse is 1 year.
Ribault
L
L
Service Chirurgicaux, Hôpital Principal Dakar.
Diouf
M B
MB
Faye
M
M
Sarre
B
B
Diagne
A L
AL
Morcillo
R
R
Veillard
J M
JM
D000328:Adult; D000349:Africa; D000368:Aged; D000714:Anastomosis, Surgical; D004386:Duodenum; D004947:Esophagus; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007440:Intubation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000601:surgery*
L'intubation oeso-duodénale continente après gastrectomie totale pour cancer. Expérience africaine à propos d'une série préliminaire de 17 cas.