A Multifactorial Analysis of Reconstruction Methods Applied After Total Gastrectomy
Aim: The aim of this study was to evaluate the reconstruction methods applied after total gastrectomy in terms of postoperative symptomology and nutrition. Methods: This retrospective study was conducted on 31 patients who underwent total gastrectomy due to gastric cancer in 2. Clinic of Genera...
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2010-12-01
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| Series: | Haseki Tıp Bülteni |
| Subjects: | |
| Online Access: | http://www.hasekidergisi.com/makale_4591/Total-Gastrektomilerden-Sonra-Uygulanan-Rekonstruksiyon-Metodlarinin-Multifaktoriyel-Analizi-Ozgun-Arastirma |
| _version_ | 1797920734079614976 |
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| author | Oktay Büyükaşık Mesut Mısırlıoğlu Mehmet İşbilir |
| author_facet | Oktay Büyükaşık Mesut Mısırlıoğlu Mehmet İşbilir |
| author_sort | Oktay Büyükaşık |
| collection | DOAJ |
| description | Aim: The aim of this study was to evaluate the reconstruction
methods applied after total gastrectomy in terms of postoperative
symptomology and nutrition.
Methods: This retrospective study was conducted on 31 patients
who underwent total gastrectomy due to gastric cancer in 2. Clinic
of General Surgery, SSK Ankara Training Hospital. 6 different
reconstruction methods were used and analyzed in terms of age,
sex and postoperative complications. One from esophagus and
two biopsy specimens from jejunum were taken through upper
gastrointestinal endoscopy from all cases, and late period morphological
and microbiological changes were examined. Postoperative
weight change, dumping symptoms, reflux esophagitis, solid/liquid
dysphagia, early satiety, postprandial pain, diarrhea and anorexia
were assessed.
Results: Of 31 patients,18 were males and 13 females; the
youngest one was 33 years old, while the oldest- 69 years old. It
was found that reconstruction without pouch was performed in 22
cases and with pouch in 9 cases. Early satiety, postprandial pain,
dumping symptoms, diarrhea and anemia were found most
commonly in cases with reconstruction without pouch. The rate of
bacterial colonization of the jejunal mucosa was identical in both
groups. Reflux esophagitis was most commonly seen in omega
esophagojejunostomy (EJ), while the least-in Roux-en-Y, Tooley and
Tanner 19 EJ.
Conclusion: Reconstruction with pouch performed after total
gastrectomy is still a preferable method. (The Medical Bulletin of
Haseki 2010; 48:126-31) |
| first_indexed | 2024-04-10T14:06:50Z |
| format | Article |
| id | doaj.art-a5b41a28cb9049d3af5089fd286fd053 |
| institution | Directory Open Access Journal |
| issn | 1302-0072 2147-2688 |
| language | English |
| last_indexed | 2024-04-10T14:06:50Z |
| publishDate | 2010-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Haseki Tıp Bülteni |
| spelling | doaj.art-a5b41a28cb9049d3af5089fd286fd0532023-02-15T16:09:58ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882010-12-01484126131A Multifactorial Analysis of Reconstruction Methods Applied After Total GastrectomyOktay Büyükaşık0Mesut Mısırlıoğlu1Mehmet İşbilir2Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Bolu, TürkiyeT.C Sağlık Bakanlığı Ankara Dışkapı YBEA Hastanesi 2. Genel Cerrahi Kliniği, Ankara, TürkiyeT.C Sağlık Bakanlığı Ankara Dışkapı YBEA Hastanesi 2. Genel Cerrahi Kliniği, Ankara, TürkiyeAim: The aim of this study was to evaluate the reconstruction methods applied after total gastrectomy in terms of postoperative symptomology and nutrition. Methods: This retrospective study was conducted on 31 patients who underwent total gastrectomy due to gastric cancer in 2. Clinic of General Surgery, SSK Ankara Training Hospital. 6 different reconstruction methods were used and analyzed in terms of age, sex and postoperative complications. One from esophagus and two biopsy specimens from jejunum were taken through upper gastrointestinal endoscopy from all cases, and late period morphological and microbiological changes were examined. Postoperative weight change, dumping symptoms, reflux esophagitis, solid/liquid dysphagia, early satiety, postprandial pain, diarrhea and anorexia were assessed. Results: Of 31 patients,18 were males and 13 females; the youngest one was 33 years old, while the oldest- 69 years old. It was found that reconstruction without pouch was performed in 22 cases and with pouch in 9 cases. Early satiety, postprandial pain, dumping symptoms, diarrhea and anemia were found most commonly in cases with reconstruction without pouch. The rate of bacterial colonization of the jejunal mucosa was identical in both groups. Reflux esophagitis was most commonly seen in omega esophagojejunostomy (EJ), while the least-in Roux-en-Y, Tooley and Tanner 19 EJ. Conclusion: Reconstruction with pouch performed after total gastrectomy is still a preferable method. (The Medical Bulletin of Haseki 2010; 48:126-31)http://www.hasekidergisi.com/makale_4591/Total-Gastrektomilerden-Sonra-Uygulanan-Rekonstruksiyon-Metodlarinin-Multifaktoriyel-Analizi-Ozgun-ArastirmaTotal gastrectomyesophagojejunostomyreflux esophagitisdumping syndrome |
| spellingShingle | Oktay Büyükaşık Mesut Mısırlıoğlu Mehmet İşbilir A Multifactorial Analysis of Reconstruction Methods Applied After Total Gastrectomy Haseki Tıp Bülteni Total gastrectomy esophagojejunostomy reflux esophagitis dumping syndrome |
| title | A Multifactorial Analysis of Reconstruction Methods Applied After Total Gastrectomy |
| title_full | A Multifactorial Analysis of Reconstruction Methods Applied After Total Gastrectomy |
| title_fullStr | A Multifactorial Analysis of Reconstruction Methods Applied After Total Gastrectomy |
| title_full_unstemmed | A Multifactorial Analysis of Reconstruction Methods Applied After Total Gastrectomy |
| title_short | A Multifactorial Analysis of Reconstruction Methods Applied After Total Gastrectomy |
| title_sort | multifactorial analysis of reconstruction methods applied after total gastrectomy |
| topic | Total gastrectomy esophagojejunostomy reflux esophagitis dumping syndrome |
| url | http://www.hasekidergisi.com/makale_4591/Total-Gastrektomilerden-Sonra-Uygulanan-Rekonstruksiyon-Metodlarinin-Multifaktoriyel-Analizi-Ozgun-Arastirma |
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