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[Esophagojejunoplication - a new reconstructive method after total gastrectomy]

N Gómez, R Siewert

Acta Gastroenterologica Latinoamericana

|January 1, 1980

Summary

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This study introduces an esophago-jejunum technique for total gastrectomy in gastric cancer patients. The method shows promising results with reduced reflux incidence compared to traditional procedures.

Area of Science:

Gastroenterology
Surgical Oncology
Surgical Innovation

Context:

Gastric carcinoma necessitates total gastrectomy, often posing challenges for duodenal anastomosis.
Standard surgical procedures can lead to significant post-operative reflux.
Evaluating novel techniques is crucial for improving patient outcomes in gastric cancer surgery.

Purpose:

To describe the technical aspects and outcomes of an esophago-jejunum application in total gastrectomy.
To assess the safety and efficacy of this technique in patients with gastric carcinoma.
To compare the incidence of reflux with conventional surgical methods.

Summary:

A total of 94 patients underwent total gastrectomy using the esophago-jejunum technique when duodenal exposure was inadequate.

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The study reported a 12.7% mortality rate, attributed to broad indications for gastrectomy, and a 3.2% anastomosis incompetence rate.

Late results were favorable in 74% of patients (Visick's criteria), with a notable 6% incidence of reflux.

Impact:

This esophago-jejunum application significantly reduces the incidence of post-operative reflux compared to standard procedures.
The technique offers a viable solution for gastric cancer patients requiring total gastrectomy with difficult duodenal anastomosis.
Improved reflux control can enhance the quality of life for patients undergoing gastric cancer surgery.