Evaluation of "gastric" emptying time in the J pouch compared with a standard esophagojejunal anastomosis.
Gastric emptying times and symptoms were recorded in 18 patients after total gastrectomy and either a 15-cm J-pouch (n = 10) or a standard esophagojejunal anastomosis (n = 8). A solid test meal labeled with 99mTc was used to compare the emptying times. The postoperative symptoms and nutritional status were also assessed. The J-pouch resulted in a prolonged period of food retention in the upper jejunum (p < 0.02) compared to that with a standard esophagojejunal anastomosis. The patients with a J-pouch had fewer episodes of postprandial pain (p < 0.03) or vomiting (< 0.04). They also had fewer dietary restrictions (p < 0.04) and better nutritional status.
McAleese
P
P
Department of Surgery, Ards Hospital, Newtownards, County Down, Northern Ireland.
Calvert
H
H
Ferguson
W R
WR
Laird
J
J
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005743:Gastrectomy; D005746:Gastric Emptying; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016737:Proctocolectomy, Restorative; D013274:Stomach Neoplasms / Q000601:surgery