Study on Clinical Application of Functional Double Pouch Jejunum Interposition after Total Gastrectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

NIU Ming ¹ , YANG Xukai ² , ZHANG Youcheng ³ , ZHU Junmin ¹ , ZHANG Duoqiang ⁴

1.Ganzhou District Hospital of Zhangye City, Zhangye 734000, Gansu Province, China;;
2.The Second Department of Surgery, Gansu People’s Armed Police Corps Hospital, Lanzhou 730050, China;;
3.The Second Hospital of Lanzhou University, Lanzhou 730000, China;;
4.Zhangye Hospital of Gansu Province, Zhangye 734000, China;

Corresponding author：

Keywords：

Gastric carcinoma; Total gastrectomy; Digestive tract reconstruction

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate for a reasonable reconstruction method in patients undergoing total gastrectomy.
Methods Data of 63 cases receiving total gastrectomy from January 2000 to October 2005 in Ganzhou District Hospital of Zhangye City were analyzed retrospectively, and the patients were divided into double pouch jejunum interposition （DPJI） group (n=30) and Roux-en-Y ρ pouch （RYρ） group (n=33) according to the operation methods, then operation time， morbidity of complications, amount and frequency of meat and drink, complications of digestive tract, amount of total protein and albumin were compared between two groups.
Results There were no significant differences in operation time，morbidity of complications, the amount or frequency of meat and drink between two groups (P gt;0.05); but the incidence of digestive tract complications of DPJI group was lower than that of RYρ group （P＜0.05). GradeⅠ/Ⅱof Vervaeck index and the amount of total protein and albumin in DPJI group were statistical significantly higher than those of RYρ group （P＜0.05）.
Conclusion Functional DPJI is a reasonable digestive tract reconstruction method.

Citation： NIU Ming ,YANG Xukai,ZHANG Youcheng,ZHU Junmin,ZHANG Duoqiang. Study on Clinical Application of Functional Double Pouch Jejunum Interposition after Total Gastrectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(7): 560-562. doi: Copy

1.	Katsube T, Konno S, Hamaguchi K, et al. Reconstruction after distal gastrectomy by interposition of a doublejejunal pouch using a triangulating stapling technique [Ｊ]. Eur J Surg Oncol, 2005; 31(9): 10361038.
2.	Ikeda M, Ueda T, Yamagata K, et al. Reconstruction after distal gastrectomy by interposition of a doublejejunal pouch using a triangulating stapling technique [Ｊ]. World J Surg, 2003; 27(4): 460464.
3.	叶再元, 孙元水, 施敦, 等. 全胃切除后非离断式RouxenY空肠储袋消化道重建的临床研究 [Ｊ]. 中华胃肠外科杂志, 2008; 11(5): 424427.
4.	Nishie A, Brown B, Barloon T, et al. Comparison of size of proximal gastric pouch and shortterm weight loss following routine upper gastrointestinal contrast study after laparoscopic RouxenY gastric bypass [Ｊ]. Obes Surg, 2007; 17(9): 11831188.
5.	李荣, 罗成华. 全胃切除术后消化道重建的术式选择与创新 [Ｊ]. 中华胃肠外科杂志, 2004; 7(1): 79.
6.	Chaiyasate K, Jacobs M, Brooks SE, et al. The uncut RouxenY with jejunal pouch: a new reconstruction technique for total gastrectomy [Ｊ]. Surgery, 2007; 142(1): 3339.
7.	郝希山, 李强. 胃癌全胃切除术后新型消化道重建方式的临床研究 [Ｊ]. 中国实用外科杂志, 2001; 21(7): 424425.
8.	Roberts K, Duffy A, Kaufman J, et al. Size matters: gastric pouch size correlates with weight loss after laparoscopic RouxenY gastric bypass [Ｊ]. Surg Endosc, 2007; 21(8): 13971402.
9.	Steele KE, Prokopowicz GP, Magnuson T, et al. Laparoscopic antecolic RouxenY gastric bypass with closure of internal defects leads to fewer internal hernias than the retrocolic approach [Ｊ]. Surg Endosc, 2008; 22(9): 20562061.
10.	Fuchs KH, Thiede A, Engemann R. Reconstruction of the food passage after total gastrectomy: randomized trial [Ｊ]. World J Surg, 1995; 19(5): 698705.
11.	Bueter M, Thalheimer A, Wierlemann A, et al. Reoperations after gastric banding: replacement or alternative procedures? [Ｊ]. Surg Endosc, 2009; 23(2): 334340.
12.	Schwarz A, Büchler M, Usinger K, et al. Importance of the duodenal passage and pouch volume after total gastrectomy and reconstruction with the Ulm pouch: prospective randomized clinical study [Ｊ]. World J Surg, 1996; 20(1): 6066.
13.	Shikora SA, Kim JJ, Tarnoff ME. Comparison of permanent and nonpermanent staple line buttressing materials for linear gastric staple lines during laparoscopic RouxenY gastric bypass [Ｊ]. Surg Obes Relat Dis, 2008; 4(6): 729734.
14.	王明元, 王星, 林雨冬, 等. 近全胃切除术在胃癌手术中的运用 [Ｊ]. 肿瘤防治研究, 2004; 31(4): 233.
15.	肖仕明, 姜淮芜, 吴宸, 等. 根治性近端胃切除术后的两种重建术式评价 [Ｊ]. 中国普外基础与临床杂志, 2008; 15(9): 682686.
16.	肖仕明, 姜淮芜, 陈进, 等. 全胃切除调节型双通道间置空肠消化道重建 [Ｊ]. 中国普外基础与临床杂志, 2008; 15(1): 2326.
17.	朱正纲. 全胃切除与消化道重建术在胃癌治疗中的临床意义 [Ｊ]. 中国普外基础与临床杂志, 2006; 13(1): 1516.
18.	冯笑山, 涂心明, 孙江涛, 等. 全胃切除术后消化道重建术式的对比观察 [Ｊ]. 中华胃肠外科杂志, 2002; 5(3): 188189.
19.	曹学冬, 王亚农. 全胃切除术后消化道重建方式选择与评价 [Ｊ]. 中国癌症杂志, 2006; 16(3): 240242.

1. Katsube T, Konno S, Hamaguchi K, et al. Reconstruction after distal gastrectomy by interposition of a doublejejunal pouch using a triangulating stapling technique [Ｊ]. Eur J Surg Oncol, 2005; 31(9): 10361038.
2. Ikeda M, Ueda T, Yamagata K, et al. Reconstruction after distal gastrectomy by interposition of a doublejejunal pouch using a triangulating stapling technique [Ｊ]. World J Surg, 2003; 27(4): 460464.
3. 叶再元, 孙元水, 施敦, 等. 全胃切除后非离断式RouxenY空肠储袋消化道重建的临床研究 [Ｊ]. 中华胃肠外科杂志, 2008; 11(5): 424427.
4. Nishie A, Brown B, Barloon T, et al. Comparison of size of proximal gastric pouch and shortterm weight loss following routine upper gastrointestinal contrast study after laparoscopic RouxenY gastric bypass [Ｊ]. Obes Surg, 2007; 17(9): 11831188.
5. 李荣, 罗成华. 全胃切除术后消化道重建的术式选择与创新 [Ｊ]. 中华胃肠外科杂志, 2004; 7(1): 79.
6. Chaiyasate K, Jacobs M, Brooks SE, et al. The uncut RouxenY with jejunal pouch: a new reconstruction technique for total gastrectomy [Ｊ]. Surgery, 2007; 142(1): 3339.
7. 郝希山, 李强. 胃癌全胃切除术后新型消化道重建方式的临床研究 [Ｊ]. 中国实用外科杂志, 2001; 21(7): 424425.
8. Roberts K, Duffy A, Kaufman J, et al. Size matters: gastric pouch size correlates with weight loss after laparoscopic RouxenY gastric bypass [Ｊ]. Surg Endosc, 2007; 21(8): 13971402.
9. Steele KE, Prokopowicz GP, Magnuson T, et al. Laparoscopic antecolic RouxenY gastric bypass with closure of internal defects leads to fewer internal hernias than the retrocolic approach [Ｊ]. Surg Endosc, 2008; 22(9): 20562061.
10. Fuchs KH, Thiede A, Engemann R. Reconstruction of the food passage after total gastrectomy: randomized trial [Ｊ]. World J Surg, 1995; 19(5): 698705.
11. Bueter M, Thalheimer A, Wierlemann A, et al. Reoperations after gastric banding: replacement or alternative procedures? [Ｊ]. Surg Endosc, 2009; 23(2): 334340.
12. Schwarz A, Büchler M, Usinger K, et al. Importance of the duodenal passage and pouch volume after total gastrectomy and reconstruction with the Ulm pouch: prospective randomized clinical study [Ｊ]. World J Surg, 1996; 20(1): 6066.
13. Shikora SA, Kim JJ, Tarnoff ME. Comparison of permanent and nonpermanent staple line buttressing materials for linear gastric staple lines during laparoscopic RouxenY gastric bypass [Ｊ]. Surg Obes Relat Dis, 2008; 4(6): 729734.
14. 王明元, 王星, 林雨冬, 等. 近全胃切除术在胃癌手术中的运用 [Ｊ]. 肿瘤防治研究, 2004; 31(4): 233.
15. 肖仕明, 姜淮芜, 吴宸, 等. 根治性近端胃切除术后的两种重建术式评价 [Ｊ]. 中国普外基础与临床杂志, 2008; 15(9): 682686.
16. 肖仕明, 姜淮芜, 陈进, 等. 全胃切除调节型双通道间置空肠消化道重建 [Ｊ]. 中国普外基础与临床杂志, 2008; 15(1): 2326.
17. 朱正纲. 全胃切除与消化道重建术在胃癌治疗中的临床意义 [Ｊ]. 中国普外基础与临床杂志, 2006; 13(1): 1516.
18. 冯笑山, 涂心明, 孙江涛, 等. 全胃切除术后消化道重建术式的对比观察 [Ｊ]. 中华胃肠外科杂志, 2002; 5(3): 188189.
19. 曹学冬, 王亚农. 全胃切除术后消化道重建方式选择与评价 [Ｊ]. 中国癌症杂志, 2006; 16(3): 240242.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Study on Clinical Application of Functional Double Pouch Jejunum Interposition after Total Gastrectomy

Abstract Full text Figures/Tables Video References Cited by

Format

Content