Nutritional effects of postgastrectomy reconstruction: a clinical evaluation.
To evaluate the nutritional benefits of a jejunal pouch vs. esophagojejunostomy following total gastrectomy, we reviewed 24 consecutive cases of total gastrectomy: 14 males and 10 females, 39 to 85 years of age (mean 66.6 y.) undergoing 9 jejunal pouches (JP) and 15 Roux-en-Y esophagojejunostomy (EJ). Indications for surgery included 15 adenocarcinomas, 3 lymphomas, 1 leiomyoma, and 5 hemorrhagic gastritis. The operative mortality was 12.5%. One JP patient was lost to follow-up. The mean survival for EJ was 13.3 months and for JP 36 months. Total gastrectomy resulted in persistent weight loss and hypoalbuminemia, and the creation of a jejunal pouch did not seem to improve significantly the nutritional status following total gastrectomy.
Zelnick
R
R
Department of Surgery, Long Island Jewish Medical Center, New Hyde Park, New York 11402.
Auguste
L J
LJ
Wise
L
L
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000713:Anastomosis, Roux-en-Y; D001835:Body Weight; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007582:Jejunostomy; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D011178:Postgastrectomy Syndromes / Q000401:mortality / Q000601:surgery*; D012086:Reoperation; D012709:Serum Albumin / Q000378:metabolism
D012709:Serum Albumin