title: A pilot study comparing jejunal pouch and jejunal interposition reconstruction after proximal gastrectomy.
abstract: OBJECTIVE
  The incidence of proximal gastric cancer is increasing, so proximal gastrectomies are often performed to preserve gastric function, but the optimal reconstruction method after surgery remains controversial. We therefore conducted a prospective pilot study comparing reconstructions using jejunal pouch interposition or jejunal interposition.
  
  
  METHODS
  Thirty-eight patients with early proximal gastric cancer were included in this study. Equal numbers of patients were randomly assigned for reconstruction using jejunal interposition (the IP group) or jejunal pouch interposition (the PO group). Postoperative morbidity and patient symptoms were compared between the 2 groups.
  
  
  RESULTS
  Postoperative morbidity was significantly more frequent in the IP than the PO group (p = 0.036). Moreover, the incidence of gastrointestinal complaints was more frequent in the IP group until 6 months after surgery. By contrast, the caloric intake was more favorable in the PO group until 1 year post-surgery.
  
  
  CONCLUSIONS
  Short-term and mid-term outcomes were more favorable following jejunal pouch interposition compared with jejunal interposition after proximal gastrectomy.
authors.affiliation: Department of Surgery, Gastroenterological Center, Yokohama City University, Yokohama City University, Graduate School of Medicine, Yokohama, Japan. rtakagawa@gmail.com
authors.forename: Ryo
authors.initials: R
authors.lastname: Takagawa
authors.forename: Chikara
authors.initials: C
authors.lastname: Kunisaki
authors.forename: Jun
authors.initials: J
authors.lastname: Kimura
authors.forename: Hirochika
authors.initials: H
authors.lastname: Makino
authors.forename: Takashi
authors.initials: T
authors.lastname: Kosaka
authors.forename: Hidetaka A
authors.initials: HA
authors.lastname: Ono
authors.forename: Hirotoshi
authors.initials: H
authors.lastname: Akiyama
authors.forename: Itaru
authors.initials: I
authors.lastname: Endo
mesh_terms: D000368:Aged; D002149:Energy Intake; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011183:Postoperative Complications; D011446:Prospective Studies; D013274:Stomach Neoplasms / Q000601:surgery; D016896:Treatment Outcome