Advantages of jejunal pouch in Roux-en-Y reconstruction.
OBJECTIVE
To improve the quality of life of patients after total gastrectomy, various pouch-reconstruction techniques have been developed. However, pouch reconstruction is technically challenging and remains controversial. We therefore, determined the efficacy of the addition of a jejunal pouch to Roux-en-Y reconstruction after total gastrectomy.


METHODS
We retrospectively studied 68 gastric cancer patients who had undergone total gastrectomy with simple Rouxen- Y reconstruction (RY group) or with Roux-en-Y reconstruction and jejunal pouch (JP group).


RESULTS
Six months after discharge from the hospital, the mean total serum albumin level was significantly lower in the RY group than in the JP group, but the mean weight loss and incidence of reflux esophagitis did not differ between the 2 groups.


CONCLUSIONS
The addition a jejuna pouch to Roux-en-Y reconstruction provides better reservoir function, but does not influence the incidence of reflux esophagitis. The construction of new fundus-like jejunal plication and the smooth passage of food from the esophagus to the jejunum prevent reflux esophagitis after total gastrectomy.
Department of Surgery, Social Insurance Yokohama Central Hospital, Yokohama, Japan. ooida.takatsugu@yokochu.jp
Takatsugu
T
Oida
Kenji
K
Mimatsu
Hisao
H
Kano
Atsushi
A
Kawasaki
Youichi
Y
Kuboi
Nobutada
N
Fukino
Kazutoshi
K
Kida
Sadao
S
Amano
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects / Q000379:methods*; D016063:Blood Loss, Surgical; D016009:Chi-Square Distribution; D004942:Esophagitis, Peptic / Q000209:etiology*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012189:Retrospective Studies; D013997:Time Factors; D015431:Weight Loss