Preservation of the distal part of the stomach by esophagoantral jejunal interposition.
An alternative approach to reconstruction after proximal two-thirds gastrectomy for benign disease involves proximal gastric vagotomy and interposition of a jejunal segment between the esophagus and antrum. This permits preservation of pyloric function and avoids reflux esophagitis. The latter can also be circumvented by interposing a jejunal segment between the esophagus and antrum in the course of an esophago-proximal gastrectomy for a malignant condition.
Lenzi
V
V
Department of Surgery, SUNY-Health Science Center, Syracuse.
Fromm
D
D
D000714:Anastomosis, Surgical; D004943:Esophagogastric Junction / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D005743:Gastrectomy / Q000379:methods*; D005758:Gastritis, Hypertrophic / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D010166:Palliative Care; D014629:Vagotomy, Proximal Gastric / Q000009:adverse effects*