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Is a distal jejunojejunal pouch nutritionally ideal in total gastrectomy?
1Department of Surgery, State University of New York, Downstate Medical Center, Brooklyn, NY, USA.
American Journal of Surgery
|March 27, 2003
Abstract:
The question arises whether it is important to construct a gastric replacement reservoir, after a total gastrectomy. Creating a noncomplicated and easily constructed capacious antiperistaltic distal jejunojejunal pouch at the Roux-en-Y site should further improve nutritional satisfaction and weight gain, particularly in patients with gastric cancer.