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Related Experiment Videos

Sequential scintigraphy after total gastrectomy and gastric replacement

A Sonntag, P Schlag, C Herfarth

    Scandinavian Journal of Gastroenterology. Supplement
    |January 1, 1981
    PubMed
    Summary

    The Hunt-Lawrence-Rodino procedure with jejunal plication created a sufficient reservoir in most patients. While emptying was delayed, esophageal reflux was eliminated, improving outcomes for substitute stomach patients.

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    Area of Science:

    • Gastroenterology
    • Surgical Innovation
    • Digestive System Physiology

    Background:

    • The Hunt-Lawrence-Rodino procedure is a surgical technique for creating a substitute stomach.
    • Additional jejunal plication is a modification aimed at improving outcomes.
    • Evaluating the functional capacity of such reconstructions is crucial for patient management.

    Purpose of the Study:

    • To assess the functional capacity of a substitute stomach created using the Hunt-Lawrence-Rodino procedure with additional jejunal plication.
    • To investigate the emptying dynamics and the incidence of esophageal reflux in these patients.

    Main Methods:

    • Functional scintigraphic investigations were performed in 24 patients.
    • The study focused on evaluating the reservoir function and emptying patterns of the substitute stomach.

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  • Esophageal reflux was assessed under physiological conditions.

    • Main Results:

    • The jejunal pouch served as a sufficient reservoir in 22 out of 24 patients.
    • Gastric emptying was continuous in most patients but universally delayed.
    • No esophageal reflux was observed in any patient, attributed to the jejunal plication.

    Conclusions:

    • The Hunt-Lawrence-Rodino procedure with jejunal plication provides adequate reservoir function for a substitute stomach.
    • While emptying is delayed, the modification effectively prevents esophageal reflux.
    • This surgical approach demonstrates promising functional outcomes for patients requiring a substitute stomach.