Colon Interposition as a Gastric Substitute after Performing Gastrectomy in Patients with Gastric Cancer
Journal of the Korean Gastric Cancer Association
; : 217-224, 2008.
Artículo
en Coreano
| WPRIM (Pacífico Occidental)
| ID: wpr-111200
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE:
For most surgeons, colon interposition after gastrectomy remains an infrequently performed procedure because of its complexity. The aim of this study was to assess its technical feasibility and safety as a post-gastrectomy reconstruction method by reviewing our experience with colon interposition. MATERIALS ANDMETHODS:
From March 2001 to February 2002, 30 colon interpositions after- gastrectomy were done with using the ileo-ascending or transverse colon. We analyzed the clinicopathologic features and the surgical outcomes.RESULTS:
There were 16 males and 14 females in this study with a mean age of 67.5 years (range 31 to 76 years). Twenty-five ascending colons and 5 transverse colons were used for the interposition, respectively. The mean operation time was 373 minutes (range 204 to 600 minutes). There were 9 operative morbidities (30%) and 1 operative mortality. The restoration of bowel motility was noted at 3.8 postoperative days; a soft diet was started at 4.9 postoperative days and the duration of the hospital stay was 18.2 days. The percentage of weight loss in the patients with total, proximal and distal gastrectomy was 16.3%, 14.0% and 8.8%, respectively, at 6 months, and thereafter the weight loss gradually recovered as 8.1%, 7.5% and 5.6%, respectively, at 5 years postoperatively. Gastric stasis was the one of the most meaningful long-term complications, and especially in the patients who underwent distal gastrectomy with colon interposition.CONCLUSION:
Colon interposition after gastrectomy was a very complex procedure with a long operating time and many anastomosis sites. The postoperative outcomes failed to achieve satisfactory weight gain and the patients displayed postprandial symptoms. This suggested that this procedure was not an appropriate procedure for conventional reconstruction after gastrectomy.
Texto completo:
Disponible
Contexto en salud:
ODS3 - Meta 3.4 Reducir las muertes prematuras por enfermedades no transmisibles
Problema de salud:
Neoplasias Colorrectales
/
Enfermedades del Sistema Digestivo
/
Neoplasia del Estómago
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Neoplasias Gástricas
/
Aumento de Peso
/
Pérdida de Peso
/
Colon
/
Gastroparesia
/
Colon Ascendente
/
Colon Transverso
/
Dieta
/
Gastrectomía
/
Tiempo de Internación
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Gastric Cancer Association
Año:
2008
Tipo del documento:
Artículo