Proximal gastrectomy and jejunal pouch interposition: Evaluation of postoperative symptoms and gastrointestinal hormone secretion

Hoshikawa,Tsuyoshi; Denno,Ryuichi; Ura,Hideki; Yamaguchi,Kouji; Hirata,Koichi

doi:10.3892/or.8.6.1293

November-December 2001 Volume 8 Issue 6

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November-December 2001 Volume 8 Issue 6

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Article

Proximal gastrectomy and jejunal pouch interposition: Evaluation of postoperative symptoms and gastrointestinal hormone secretion

Authors:
- Tsuyoshi Hoshikawa
- Ryuichi Denno
- Hideki Ura
- Kouji Yamaguchi
- Koichi Hirata
View Affiliations / Copyright

Affiliations: Department of Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan
Pages: 1293-1299
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Published online on: November 1, 2001

https://doi.org/10.3892/or.8.6.1293
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Abstract

Reflux esophagitis, dumping syndrome and malnutrition are included in the postgastrectomy complications. To prevent or minimize such sequelae, proximal gastrectomy with an interposed jejunal pouch has been advocated as an organ-preserving surgical strategy to improve quality of life for the patients. Proximal gastrectomy was performed in 44 patients with tumors in the upper third of the stomach; 21 had reconstruction using jejunal pouch interposition between the esophagus and the remnant stomach (JP group), while 23 had reconstruction by esophagogastrostomy (EG group). Re-construction method was selected by each patient on the basis of the informed consent. Thirty-five patients had early gastric cancer. Postoperative courses of patients were reviewed in terms of symptoms, weight maintenance, nutritional status, blood chemistry values, endoscopic findings, and radiographic appearances after a barium meal. Concentrations of gastrointestinal hormones were measured in response to a test meal. The JP procedure permitted increased dietary volume. The JP group showed fewer severe postoperative symptoms than the EG group. After operation, all patients examined in both groups showed hypergastrinemia and all patients examined in the JP group showed hypersecretinemia. In proximal gastrectomy, the JP procedure improved patient's post-operative quality of life.

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Proximal gastrectomy and jejunal pouch interposition: Evaluation of postoperative symptoms and gastrointestinal hormone secretion

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