[History of reconstruction following total gastrectomy].
Near a century after the first successful total gastrectomy for gastric cancer, the authors review the various technical proposals for digestive tract reconstruction following total gastrectomy. Following a classification based on duodenal circuit, on the viscerum employed and on the creation of pouches and/or anti-reflux mechanisms, pros and cons of the various classes of reconstructions are clearly depicted, suggesting the reasons that made Roux-en-Y esophago-jejunostomy and jejunal interposition the most used reconstructive procedure in worldwide clinical practice.
Catarci
M
M
Cattedra di Chirurgia Generale, Università degli Studi di Roma La Sapienza.
Proposito
D
D
Guadagni
S
S
Tuscano
D
D
Flati
G
G
Zaraca
F
F
Scaccia
M
M
Scardamaglia
F
F
Carboni
M
M
D000714:Anastomosis, Surgical / Q000379:methods; D003106:Colon / Q000601:surgery; D004386:Duodenum / Q000601:surgery; D005743:Gastrectomy / Q000266:history* / Q000379:methods; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D007583:Jejunum / Q000601:surgery
Storia della ricostruzione dopo gastrectomia totale.