噴門側胃切除後の空腸間置術と空腸嚢間置術の比較

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タイトル別名
  • RECONSTRUCTION AFTER PROXIMAL GASTRECTOMY: COMPARISON WITH SINGLE LOOP JEJUNAL INTERPOSITION AND JEJUNAL POUCH INTERPOSITION

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In this study, we evaluated the clinical factors between single loop jejunal interposition (JI) and jejunal pouch interposition (JPI) as a reconstructive procedure after proximal gastrectomy. Proximal gastrectomy was performed in 72 patients with gastric cancer in the upper third of the stomach between 1985 and 2002. As for the operation time, blood loss volume and hospital stay after surgery, there was no difference between the two groups. Postoperative complications were seen in 92.3% in the JI group compared with 42.4% in the JPI group (P=0.0014). Endoscopic observation of the remnant stomach was technically easier after JPI. Recovery of body weight and serum total protein after operation was better in the JPI group. The surgical technique of JPI is comparatively easy although the cost of some of the apparatus is high. In conclusion, the surgical procedure of JPI is better than JI for proximal gastrectomy.

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