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Related Experiment Video

Updated: Jun 1, 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

"Ulm pouch" technique for total gastrectomy. Chinese experiences.

J Zhen-Ling¹, L Jun-Sheng, W Zhang

¹Department of General Surgery, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China. zlji@vip.sina.com

Minerva Chirurgica

|May 20, 2011

Summary

The Ulm pouch jejunal interposition is a safe and effective reconstruction method after total gastrectomy. This technique simplifies surgery and improves patient quality of life with a stomach-like pouch.

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Last Updated: Jun 1, 2026

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

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Published on: December 27, 2024

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

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Published on: August 22, 2025

Area of Science:

Gastroenterology
Surgical Oncology
Medical Devices

Background:

Total gastrectomy necessitates complex alimentary reconstruction.
Traditional reconstruction methods may have limitations in replicating native stomach function.
The "Ulm pouch" technique offers an alternative for post-gastrectomy reconstruction.

Purpose of the Study:

To evaluate the safety and efficacy of "Ulm pouch" jejunal interposition reconstruction following total gastrectomy.
To assess the morphological characteristics of the "Ulm pouch" using virtual endoscopy.
To determine the impact of this reconstruction on patient outcomes and quality of life.

Main Methods:

A cohort of 62 patients underwent "Ulm pouch" reconstruction after total gastrectomy.
The "Ulm pouch" was created using jejunal segments and staplers.
Virtual endoscopy was employed to observe pouch morphology in a subset of patients.
Roux-Y reconstruction served as a comparative method for other patients.

Main Results:

All surgical operations were successful, with no intraoperative complications reported.
The "Ulm pouch" demonstrated similar size and shape to the native stomach.
Patients experienced rapid appetite recovery and significant weight gain within two months post-surgery.
Minor complications included cholecystitis, anastomotic leakage, and upper gastric bleeding.

Conclusions:

"Ulm pouch" jejunal interposition is a safe and effective procedure for alimentary reconstruction after total gastrectomy.
The use of staplers simplifies the technique and reduces operative time.
Virtual endoscopy confirms the native stomach-like morphology of the "Ulm pouch", contributing to a good quality of life and favorable prognosis.