Optimal Size of Jejunal Pouch as a Reservoir after Total Gastrectomy: A Single-Center Prospective Randomized Study View Full Text


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Article Info

DATE

2011-07-22

AUTHORS

Hironori Tsujimoto, Naoko Sakamoto, Takashi Ichikura, Shuichi Hiraki, Yoshihisa Yaguchi, Isao Kumano, Yusuke Matsumoto, Kazumichi Yoshida, Satoshi Ono, Junji Yamamoto, Kazuo Hase

ABSTRACT

BackgroundIn order to improve a patient’s quality of life after total gastrectomy, jejunal pouch reconstruction has been employed. However, little information exists regarding the optimal size of the jejunal pouch after total gastrectomy.MethodsThe study was designed as a single-center randomized trial in which the results of double-tract reconstruction with pouches of two different sizes were compared, i.e., short and long pouch double tract (SPDT and LPDT, respectively). We conducted a clinical assessment with standard questionnaire after surgery. The amount of residual food in the jejunal pouch was determined by endoscopy.ResultsNo demographic differences were noted between the two groups. The eating capacity per meal was higher in the SPDT group than in the LPDT group. The postoperative weight loss 24 months after surgery was lower in SPDT group than that in the LPDT group. Although the incidence of early dumping symptoms was higher in the SPDT group, no difference was noted in the other postprandial abdominal symptoms between the two groups.ConclusionsWe conclude that the optimal pouch should be relatively short, as a short pouch improves the eating capacity per meal and the weight loss ratio to the preoperative value. More... »

PAGES

1777

References to SciGraph publications

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  • 2002-01-18. Quality of Life after Gastrectomy: Longmire’s ReconstructionAlone Compared with Additional Pouch Reconstruction in WORLD JOURNAL OF SURGERY
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  • 2003-08-21. Ideal Reconstruction after Total Gastrectomy by the Interposition of a Jejunal Pouch Considered by Emptying Time in WORLD JOURNAL OF SURGERY
  • 1999-02-01. Long term consequences of gastrectomy for patients’ quality of life: the impact of reconstructive techniques in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 1998-12. Gastric substitute after total gastrectomy – clinical relevance for reconstruction techniques in LANGENBECK'S ARCHIVES OF SURGERY
  • 2001-09. Long-term effects of jejunal pouch added to Roux-en-Y reconstruction after total gastrectomy in GASTRIC CANCER
  • 2009-08-11. Pouch vs. No Pouch Following Total Gastrectomy: Meta-Analysis and Systematic Review in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2001-08. Comparison of Quality of Life and Nutritional Parameters After Total Gastrectomy and a New Type of Pouch Construction with Simple Roux-en-Y Reconstruction in DIGESTIVE DISEASES AND SCIENCES
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11605-011-1641-4

    DOI

    http://dx.doi.org/10.1007/s11605-011-1641-4

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/21785918


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    34 schema:description BackgroundIn order to improve a patient’s quality of life after total gastrectomy, jejunal pouch reconstruction has been employed. However, little information exists regarding the optimal size of the jejunal pouch after total gastrectomy.MethodsThe study was designed as a single-center randomized trial in which the results of double-tract reconstruction with pouches of two different sizes were compared, i.e., short and long pouch double tract (SPDT and LPDT, respectively). We conducted a clinical assessment with standard questionnaire after surgery. The amount of residual food in the jejunal pouch was determined by endoscopy.ResultsNo demographic differences were noted between the two groups. The eating capacity per meal was higher in the SPDT group than in the LPDT group. The postoperative weight loss 24 months after surgery was lower in SPDT group than that in the LPDT group. Although the incidence of early dumping symptoms was higher in the SPDT group, no difference was noted in the other postprandial abdominal symptoms between the two groups.ConclusionsWe conclude that the optimal pouch should be relatively short, as a short pouch improves the eating capacity per meal and the weight loss ratio to the preoperative value.
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