[Gastrectomy with end-loop jejunogastroplasty in stomach cancer]

Experience with surgical treatment of 147 patients after gastrectomy with jejunogastroplasty and creation of end-loop esophageal-intestinal anastomosis is analyzed. Original methods of jejunogastroplasty are based on end-loop construction of esophageal-intestinal anastomosis simulating anatomic-functional analog of lost cardia and pylorus and replacing reservoir function of the stomach. One year and later after surgery 83 patients with end-loop esophageal-intestinal anastomosis and 73 patients with anastomosis were examined. It is demonstrated that jejunogastroplasty with end-loop anastomosis is characterized by low frequency (6%) and degree of reflux-esophagitis. Passage of food through duodenum in end - loop jejunogastroplasty decreases frequency and degree of demping-syndrome. Active isolating function of end-loop anastomosis was demonstrated with x-ray and manometric methods. Primary jejunogastroplasty with end-loop anastomosis leads to reduction of frequency and severity of postoperative pathological syndromes and permits to improve quality life of operated patients.