Results of follow-up endoscopy in patients who underwent proximal gastrectomy with jejunal interposition for gastric cancer.
OBJECTIVE
The present study evaluates the findings of long-term follow-up endoscopy in patients who underwent proximal gastrectomy with jejunal interposition for gastric cancer.


METHODS
A total of 55 patients (45 males, 10 females; 32 to 79 years; mean, 55.9 years), who underwent proximal gastrectomy with jejunal interposition, were enrolled in the present study. We reviewed the findings of follow-up endoscopy of all patients with particular reference to the development of esophagitis, jejunitis, jejunal ulcer and secondary tumors.


RESULTS
We found reflux esophagitis in 6 patients (10.9%) between 12 and 35 months with an average of 22 months after surgery. Jejunitis was discovered in 5 patients (9.0%) between 6 and 96 months with an average of 29 months after surgery. Jejunal ulcer was revealed in 6 patients (10.9%) between 6 and 75 months with an average of 37 months after surgery. Tumors of the remnant stomach, early gastric cancer and gastric adenoma, were identified in 2 patients (3.6%) at 24 months and 69 months, respectively.


CONCLUSIONS
Jejunal interposition combined with proximal gastrectomy does not always prevent complications related to regurgitation of gastric content, and may not be a suitable treatment in view of postoperative endoscopic surveillance. Further studies are required to identify an appropriate surgical approach to proximal gastrectomy for gastric cancer.
Kikuchi
Shiro
S
Department of Surgery, School of Medicine, Kitasato University, Kanagawa Japan.
Nemoto
Yuhta
Y
Katada
Natsuya
N
Sakuramoto
Shinichi
S
Kobayashi
Nobuyuki
N
Shimao
Hitoshi
H
Watanabe
Masahiko
M
D000328:Adult; D000368:Aged; D016099:Endoscopy, Gastrointestinal; D004751:Enteritis / Q000453:epidemiology; D004942:Esophagitis, Peptic / Q000453:epidemiology / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007579:Jejunal Diseases / Q000453:epidemiology; D007583:Jejunum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D013274:Stomach Neoplasms / Q000601:surgery*