New type of reconstruction method after subtotal gastrectomy (Noh's operation).
The aim of this study was to compare a new type of reconstruction method (Noh's operation) with Roux-en- Y operation after subtotal gastrectomy. Noh's operation described herein includes a jejunal occlusion, an end-to-side gastrojejunostomy, a side-to-end jejunoduodenostomy, and a side-to-side jejunojejunostomy after subtotal gastrectomy. A series of 43 patients who had the new operation were compared with 47 patients with the Roux-en- Y procedure. The postgastrectomy syndromes, and the mucosal change of the remnant stomach and esophagus were evaluated after surgery. In the new operation, the Roux stasis syndrome occurred in 34.9% at 3 months, in 23.3% at 6 months, in 14.0% at 12 months, and in 11.6% at 24 months. In patients undergoing the Roux-en- Y operation, the syndrome occurred in 42.6% at 3 months, in 34.0% at 6 months, in 31.9% at 12 months, and in 29.8% at 24 months. This study shows that the new type of operation (Noh's operation) can be a good option for reconstruction after subtotal gastrectomy.
Noh
Seung-Moo
SM
Department of General Surgery, Chungnam National University Hospital, 640 Daesa-dong, Joong-gu, Daejeon 301-721, Korea. seungnoh@cnu.ac.kr
Jeong
Hyun-Yong
HY
Cho
June-Sik
JS
Shin
Kyung-Sook
KS
Song
Kyu-Sang
KS
So
Young
Y
Lee
Tae-Yong
TY
D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D005743:Gastrectomy / Q000379:methods*; D005746:Gastric Emptying; D006801:Humans; D008875:Middle Aged; D011178:Postgastrectomy Syndromes / Q000517:prevention & control; D019651:Plastic Surgery Procedures / Q000379:methods*; D013274:Stomach Neoplasms / Q000601:surgery*