title: Results of modified uncut Roux-en-Y reconstruction after distal gastrectomy for gastric cancer.
abstract: OBJECTIVE
  The frequent occurrence of bile gastritis and esophagitis associated with dehiscence of 'uncut' jejunal portion was of concern for "uncut" Roux-en-Y reconstruction after distal gastrectomy. Our aim was to study if our technique of a modified, uncut Roux-en-Y procedure would decrease this dehiscence.
  
  
  METHODS
  Ten patients with gastric cancer underwent distal gastrectomy with a modified, uncut Roux-en-Y reconstruction. Transmural silk stitches were added around the staples at the "uncut" portion in attempt to prevent dehiscence of the staple line. Dehiscence of the jejunum at the enterically closed site was investigated endoscopically or fluoroscopically.
  
  
  RESULTS
  Mean operative time and intraoperative blood loss were 246 minutes and 381 mL, respectively. Morbidity occurred in three patients. No dehiscence was observed in any of the patients examined.
  
  
  CONCLUSIONS
  These results suggest the possibility that our technique of a modified, uncut Roux-en-Y reconstruction after distal gastrectomy decreases dehiscence of enterically closed portion.
authors.forename: Chikashi
authors.initials: C
authors.lastname: Shibata
authors.forename: Masayuki
authors.initials: M
authors.lastname: Kakyo
authors.forename: Makoto
authors.initials: M
authors.lastname: Kinouchi
authors.forename: Naoki
authors.initials: N
authors.lastname: Tanaka
authors.forename: Koh
authors.initials: K
authors.lastname: Miura
authors.forename: Takeshi
authors.initials: T
authors.lastname: Naitoh
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Ogawa
authors.forename: Nobuki
authors.initials: N
authors.lastname: Yazaki
authors.forename: Sho
authors.initials: S
authors.lastname: Haneda
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Watanabe
authors.forename: Iwao
authors.initials: I
authors.lastname: Sasaki
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects / Q000379:methods*; D016063:Blood Loss, Surgical; D002277:Carcinoma / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects; D006801:Humans; D007583:Jejunum / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000601:surgery*; D017792:Surgical Stapling; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000517:prevention & control; D013997:Time Factors; D016896:Treatment Outcome