title: Gastric-jejunum pouch side-to-end anastomosis: a novel and safe operation of gastrojejunostomy for preventing reflux gastritis.
abstract: OBJECTIVE
  This study aims to introduce a simple operation method of gastrojejunostomy for preventing reflux esophagitis --gastric-jejunum pouch side-to-end anastomosis.
  
  
  METHODS
  Based on Billroth II anastomosis (Billroth II) method, we designed a new technique of anastomosis between stomach wall and jejunal pouch. The technique was named gastric-jejunum pouch side-end anastomosis. We retrospectively analyzed the clinical data which was collected from March 2012 to February 2014. Among all the recruited 66 patients, 51 gastric cancer patients and 7 pyloric obstruction patients were implemented with hand-assisted laparoscopic distal gastrectomy plus D2 lymph node dissection. The remaining 8 patients were malignant pyloric obstruction; they were treated with small exploratory incision on the upper abdomen and distal gastric partial transection. All the patients were treated with gastric-jejunum pouch side-to-end anastomosis.
  
  
  RESULTS
  The surgical incision was small, the operative time was short, their bleeding volume was little, the recovery time of the bowel function and hospitalization time was relatively short. Postoperatively, there was neither mortality and gastroparesis, nor anastomotic leakage and jejunal pouch leakage. Minor postoperative complications were detected followed up for 12 months, no acid reflux and reflux esophagitis symptoms was reported.
  
  
  CONCLUSIONS
  Gastric -jejunum pouch side-to-end anastomosis is a simple operation technique with highly surgical safety.
authors.affiliation: Department of Gastrointestinal Surgery, Center of General Surgery of P.L.A., Chengdu Army General Hospital Chengdu 610083, Sichuan Province, China.
authors.forename: Yongkuan
authors.initials: Y
authors.lastname: Cao
authors.affiliation: Department of Gastrointestinal Surgery, Center of General Surgery of P.L.A., Chengdu Army General Hospital Chengdu 610083, Sichuan Province, China.
authors.forename: Jiaqing
authors.initials: J
authors.lastname: Gong
authors.affiliation: Department of Gastrointestinal Surgery, Center of General Surgery of P.L.A., Chengdu Army General Hospital Chengdu 610083, Sichuan Province, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Gan
authors.affiliation: Department of Gastrointestinal Surgery, Center of General Surgery of P.L.A., Chengdu Army General Hospital Chengdu 610083, Sichuan Province, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Zhou
authors.affiliation: Department of Gastrointestinal Surgery, Center of General Surgery of P.L.A., Chengdu Army General Hospital Chengdu 610083, Sichuan Province, China.
authors.forename: Ling
authors.initials: L
authors.lastname: Huang
authors.affiliation: Department of Gastrointestinal Surgery, Center of General Surgery of P.L.A., Chengdu Army General Hospital Chengdu 610083, Sichuan Province, China.
authors.forename: Yonghua
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Department of Gastrointestinal Surgery, Center of General Surgery of P.L.A., Chengdu Army General Hospital Chengdu 610083, Sichuan Province, China.
authors.forename: Guode
authors.initials: G
authors.lastname: Luo
authors.affiliation: Department of Gastrointestinal Surgery, Center of General Surgery of P.L.A., Chengdu Army General Hospital Chengdu 610083, Sichuan Province, China.
authors.forename: Yaning
authors.initials: Y
authors.lastname: Song
keywords: Gastrojejunostomy; jejunal pouch; reflux gastritis