Sakamoto, Takashi; Fujimaki, Masao; Tazawa, Kenji. Ileocolon Interposition as a Substitute Stomach After Total or Proximal Gastrectomy // Annals of Surgery. – 1997. – August. – 226(2):139-145.

Популярно о болезнях ЖКТ Лекарства при болезнях ЖКТ Если лечение не помогает Адреса клиник

Авторы: Sakamoto Takashi / Fujimaki Masao / Tazawa Kenji


Ileocolon Interposition as a Substitute Stomach After Total or Proximal Gastrectomy

Sakamoto, Takashi; Fujimaki, Masao; Tazawa, Kenji.



Abstract:

Objective: The authors evaluated ileocolon interposition as a substitute stomach after total gastrectomy (TG) or proximal gastrectomy (PG).

Summary Background Data: Although the jejunum frequently is used for reconstruction to create a substitute stomach after TG or PG, there are few reports on ileocolon interposition.

Methods: The authors performed ileocolon interposition in 47 patients who underwent TG (N = 18) or PG (N = 29) for malignant gastric lesion and evaluated the function of this structure as a substitute stomach using esophagoscopy, manometry, pH-metry, emptying time, oral glucose tolerance test (OGTT), and postoperative body weight changes.

Results: No patient reported any reflux symptoms or showed endoscopic findings of reflux esophagitis.

These results were well supported by manometry and acid loading pH-metry.

Emptying time and OGTT showed good capacity as a reservoir of food, and the postoperative body weight averaged more than 90% of preoperative weight.

Clinically, no significant difference between these two groups was recognized during long-term follow-up for up to 12 years after operation.

There were no cases of direct operative death, and the 5- and 10-year survival rates were 64.7% and 40.2%, respectively.

Conclusions: Ileocolon interposition after TG or PG has the advantages of preventing postoperative reflux esophagitis and of providing functional replacement of the stomach as a reservoir for ingested food.

(C) Lippincott-Raven Publishers



Annals of Surgery. 226(2):139-145, August 1997.

Ileocolon Interposition as a Substitute Stomach After Total or Proximal Gastrectomy.

Sakamoto, Takashi M.D.; Fujimaki, Masao M.D.; Tazawa, Kenji M.D.

 


Назад в раздел
Популярно о болезнях ЖКТ читайте в разделе "Пациентам"
Лекарства, применяемые при заболеваниях ЖКТ
Адреса клиник

Индекс цитирования
Логотип Исток-Системы

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