title: Roux-en-Y gastrojejunostomy using modified hemi-double stapling.
abstract: For reconstruction after distal gastrectomy, the Roux-en-Y gastrojejunostomy is superior to the Billroth II gastrojejunostomy in terms of bile reflux. Roux-en-Y gastrojejunostomy prevents reflux gastritis, esophagitis, and carcinogenesis of the gastric remnant. However, the Roux-en-Y gastrojejunostomy is relatively complicated and lengthy. The authors perform a simple, safe Roux-en-Y gastrojejunostomy using modified hemi-double stapling. We applied this technique to 42 patients with gastric cancer. The average operating and reconstruction times were 172.6 +/- 42.0 and 26.2 +/- 4.8 min, respectively. The postoperative courses were uneventful and the patients were discharged 11.2 +/- 2.4 days postoperatively. Neither leakage nor bleeding from the gastrojejunostomy has occurred postoperatively. The postoperative follow-up was 7-24 months and no local recurrence or stricture at the gastrojejunostomy site occurred. Roux-en-Y gastrojejunostomy using the modified hemi-double stapling technique can achieve reconstruction more simply, safely and quickly, and may provide an alternative reconstruction method for distal gastrectomy.
authors.affiliation: Department of Surgery, Postgraduate School of Medicine and Medical Research Institute, Pusan National University, Busan, Korea.
authors.forename: Dong-Heon
authors.initials: DH
authors.lastname: Kim
authors.forename: Tae-Yong
authors.initials: TY
authors.lastname: Jeon
authors.forename: Dae-Hwan
authors.initials: DH
authors.lastname: Kim
authors.forename: Dong-Il
authors.initials: DI
authors.lastname: Kim
authors.forename: Mun-Sup
authors.initials: MS
authors.lastname: Sim
authors.forename: Suk
authors.initials: S
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D008297:Male; D008488:Medical Illustration; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D012008:Recurrence; D013274:Stomach Neoplasms / Q000601:surgery; D017792:Surgical Stapling / Q000379:methods*; D016896:Treatment Outcome