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Peptic Ulcer Disease V: Surgical Management and Nursing Care

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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
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Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

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Related Experiment Video

Updated: Jun 28, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

[Reconstruction after total gastrectomy].

Toshiharu Yamaguchi¹, Tetsu Fukunaga, Naoki Hiki

¹Cancer Institute, Ariake Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.

Nihon Geka Gakkai Zasshi

|October 23, 2008

Summary

Reconstruction after total gastrectomy, particularly laparoscopic approaches, focuses on procedure safety and digestive function. The Roux-Y reconstruction is common, but anastomotic techniques require further investigation.

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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Published on: October 31, 2025

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Last Updated: Jun 28, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Published on: October 31, 2025

Area of Science:

Gastroenterology
Surgical Oncology
Digestive System Surgery

Context:

Total gastrectomy is a major surgical procedure for gastric cancer.
Reconstruction methods significantly impact postoperative outcomes.
Current Japanese guidelines do not universally recommend laparoscopic total gastrectomy.

Purpose:

To review reconstruction techniques following total gastrectomy.
To highlight common methods like Roux-en-Y and small bowel interposition.
To discuss the current status and controversies in laparoscopic total gastrectomy reconstruction.

Summary:

The Japan Gastric Cancer Association survey identifies Roux-en-Y and small bowel interposition as prevalent reconstruction methods post-total gastrectomy.
Roux-Y is the most frequent reconstruction after laparoscopic total gastrectomy, though specific anastomotic techniques remain debated.
Postoperative digestive function and procedural simplicity/safety are key assessment criteria.

Impact:

Informs surgical practice regarding optimal reconstruction strategies after gastrectomy.
Guides future research into improving anastomotic techniques for better patient outcomes.
Contributes to the evolving understanding of minimally invasive approaches in gastric cancer treatment.