Is a distal jejunojejunal pouch nutritionally ideal in total gastrectomy?
The question arises whether it is important to construct a gastric replacement reservoir, after a total gastrectomy. Creating a noncomplicated and easily constructed capacious antiperistaltic distal jejunojejunal pouch at the Roux-en-Y site should further improve nutritional satisfaction and weight gain, particularly in patients with gastric cancer.
Nadrowski
Leon
L
Department of Surgery, State University of New York, Downstate Medical Center, Brooklyn, NY, USA.
D000713:Anastomosis, Roux-en-Y / Q000379:methods; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D009748:Nutrition Disorders / Q000209:etiology / Q000517:prevention & control; D019738:Surgically-Created Structures; D015430:Weight Gain