[Stage-adapted reconstruction of the stomach after gastrectomy].
The only realistic chance of a cure for cancer of the stomach is gastrectomy with a wide margin of clearance. The question as to what constitutes the ideal reconstruction of a substitute stomach, however, remains unanswered. A number of prospective randomized studies show that patients operated on in curative intent and with a good long-term prognosis, should be given a substitute stomach in the form of a pouch constructed from small bowel, with restoration of duodenal passage. On account of the shorter operating time, patients receiving palliative surgery should be treated with a simple oesophagojejunostomy without such a small-bowel pouch substitute stomach.
Schoenberg
M H
MH
Rotkreuz-Krankenhaus München.
Schwarz
A
A
Beger
H G
HG
D000713:Anastomosis, Roux-en-Y; D000714:Anastomosis, Surgical / Q000379:methods; D004947:Esophagus / Q000601:surgery; D005743:Gastrectomy / Q000379:methods*; D005763:Gastroenterostomy / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery; D013274:Stomach Neoplasms / Q000601:surgery*