[Reconstructive jejunogastroplasty]

Area of Science:

• Gastroenterology
• Surgical Innovation
• Digestive System Surgery

Background:

• Post-gastroresection disorders significantly impair digestive function and quality of life.
• Current surgical treatments for these disorders have limitations in restoring normal digestion and preventing complications like bile reflux.
• Restoring duodenal continuity and function is crucial for effective digestion after partial gastrectomy.

Purpose of the Study:

• To present a novel surgical method for treating post-gastroresection disorders.
• To describe the technique of creating invagination-valvular jejunoduodenal and sphinctero-valvular esophagojejunoanastomoses.
• To evaluate the long-term functional outcomes and efficacy of this new surgical approach.

Main Methods:

• Development of a reduodenization technique involving jejunal transplantation.
• Formation of invagination-valvular jejunoduodenal anastomosis to prevent regurgitation.
• Formation of sphinctero-valvular esophagojejunoanastomosis for improved digestive continuity.

Main Results:

• The described method successfully incorporates the duodenum into the digestive process.
• The invagination-valvular jejunoduodenal anastomosis effectively prevented regurgitation in the remote postoperative period.
• Five-year follow-up demonstrated good functional results in patients treated with this technique.

Conclusions:

• The developed reduodenization method offers a promising solution for post-gastroresection disorders.
• This surgical approach effectively restores digestive function and prevents bile reflux.
• The technique provides good long-term functional outcomes, improving patient recovery after gastrectomy.