A new approach for the surgical treatment of late post-total gastrectomy syndromes.
The value of a new reconstructive procedure after total gastrectomy is assessed in 79 patients who underwent this operation between 1964 and 1979. The results obtained in terms of mortality and of early and late morbidity have been most satisfactory. The new method offers to the patient an elimination of his post-total gastrectomy symptoms, a sense of well-being, a satisfactory nutritional status and a potentially reasonable working capacity, without added risk of mortality or morbidity. Postoperative studies are presented which demonstrate that the reservoir created does not dilate but retains active peristalsis and controls emptying time in a nearly normal manner. A hypothesis is put forward to explain this. Thus from the results of this paper it may well be recommended in dealing with patients who are submitted to total gastrectomy.
D000328:Adult; D000368:Aged; D001466:Barium Sulfate; D001835:Body Weight; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011178:Postgastrectomy Syndromes / Q000401:mortality / Q000601:surgery*
D001466:Barium Sulfate