Clinical practice of continuous jejunal interposition pouch in total gastrectomy / 中国基层医药

ABSTRACT

Objective To explore the ideal reconstruction after total gastrectomy.Methods Following-up information on one postoperation year of 62 cases underwent continuous jejunal interposition pouch(CJIP)recon- struction and 60 cases of Roux-en-Y pouch(RYP)was compared.Results Although no statistical difference was found in nutritional status(body weight and serum nutritional paramerers)between the two groups,frequency of meals of CJIP was less than that of Roux-en-Y.The quantity of every meal and pouch enlargement of CJIP were ob- viously larger than those of RYP group.There were 9 cases of digestive fluid reflux syndrome,8 cases of dumping syndrome in RYP group simultaneously.Conclusion CJIP demonstrated no substantial nutritional advangate to RYP,but it still was the prefered type of reconstruction,because of its less postprandial disturbance than that of RYP.