title: Comparing aboral versus oral pouch with preserved duodenal passage after total gastrectomy: does the position of the gastric substitute reservoir count?
abstract: BACKGROUND
  Total gastrectomy results in a significant weight loss, different postgastrectomy symptoms, and a reduction in quality of life. Elaborate surgical reconstruction methods are evaluated to improve results. The present study compares two types of reconstructions--an aboral pouch with preserved duodenal passage and an oral pouch with preserved duodenal passage--differing only in the site of the pouch.
  
  
  METHODS
  Twenty-eight patients entered the study. Primary outcome measures--body weight, body mass index, and quality of life, and secondary outcome measures--serum nutritional parameters, scintigraphic small-intestinal passage, and lipid and carbohydrate absorption were measured 6, 12, and 24 months after surgery.
  
  
  RESULTS
  No significant differences were found in anthropometric parameters or in quality of life between the groups. Regarding the secondary outcome measures, albumin levels were higher in the oral pouch group, while protein and immunoglobulin-A levels were higher in the aboral pouch group.
  
  
  CONCLUSIONS
  The site of the reservoir does not significantly influence the outcome after total gastrectomy and reconstruction with a preserved duodenal passage.
authors.affiliation: Department of Surgery, University of Pécs, 13 Ifjuság str., 7624, Pécs, Hungary.
authors.forename: Katalin
authors.initials: K
authors.lastname: Kalmár
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Káposztás
authors.forename: Gábor
authors.initials: G
authors.lastname: Varga
authors.forename: László
authors.initials: L
authors.lastname: Cseke
authors.forename: András
authors.initials: A
authors.lastname: Papp
authors.forename: Ors Péter
authors.initials: OP
authors.lastname: Horváth
mesh_terms: D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D005260:Female; D005743:Gastrectomy; D005746:Gastric Emptying / Q000502:physiology; D006801:Humans; D007070:Immunoglobulin A / Q000097:blood; D007408:Intestinal Absorption / Q000502:physiology; D008297:Male; D008875:Middle Aged; D011506:Proteins / Q000032:analysis; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods*; D012709:Serum Albumin
chemical_list: D007070:Immunoglobulin A; D011506:Proteins; D012709:Serum Albumin