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Comparative study on three types of digestive reconstruction after total gastrectomy / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery ; (12): 301-304, 2006.
Artigo em Chinês | WPRIM | ID: wpr-283330
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the rational digestive reconstruction after total gastrectomy for gastric malignancy.</p><p><b>METHODS</b>Three types of digestive reconstruction were performed after total gastrectomy in 189 cases with gastric carcinoma. The operating time, morbidity and mortality, food intake, digestive tract symptoms, nutritional status at 1 and 3 years after surgery and 1-, 3-, 5-year cumulative survival were compared.</p><p><b>RESULTS</b>There were no significant differences among the three procedures in operative morbidity and mortality, postoperative food intake, nutritional status (Hemoglobin, total protein and labium), and incidences of diarrhea and dumping syndrome (P > 0.05). The overall 1-, 3-, 5-year survival rates were 75.3%, 38.2% and 20.5% respectively, and there were no significant differences among the three groups (P > 0.05). Orr-type and P-type esophagojejunostomy had an advantage of anti-esophageal reflux, and were obviously superior to Moynihan-type anastomosis (P< 0.01). Compared with P-type reconstruction, Orr-type reconstruction was simpler with shorter operating time, and less complications.</p><p><b>CONCLUSIONS</b>Orr-type Roux-en-Y esophagojejunostomy can be recommended as an adaptable method of digestive reconstruction after total gastrectomy for gastric cancer because of its avoiding reflux esophagitis, maintaining better nutritional status and quality of life, and simpler procedure.</p>
Assuntos
Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Período Pós-Operatório / Neoplasias Gástricas / Cirurgia Geral / Anastomose em-Y de Roux / Procedimentos de Cirurgia Plástica / Esôfago / Gastrectomia / Jejuno / Métodos Limite: Adulto / Idoso / Feminino / Humanos / Masculino Idioma: Chinês Revista: Chinese Journal of Gastrointestinal Surgery Ano de publicação: 2006 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Período Pós-Operatório / Neoplasias Gástricas / Cirurgia Geral / Anastomose em-Y de Roux / Procedimentos de Cirurgia Plástica / Esôfago / Gastrectomia / Jejuno / Métodos Limite: Adulto / Idoso / Feminino / Humanos / Masculino Idioma: Chinês Revista: Chinese Journal of Gastrointestinal Surgery Ano de publicação: 2006 Tipo de documento: Artigo