Abstract:
:Reconstruction following total gastrectomy usually requires one of the various methods of esophagojejunal anastomosis. We present herein the case of a 78-year-old woman with gastric carcinoma involving the adjacent organs for which resection of the whole stomach, distal pancreas, transverse colon, and distal duodenum was performed. Reconstruction was carried out with an esophagojejunostomy, followed by a side-to-side anastomosis between the raised jejunal limb and the residual short duodenum. Her postoperative course was uneventful and she was able to lead a relatively comfortable life at home until she died after tumor recurrence caused GI bleeding 1 year postoperatively. This new modified Roux-en-Y with an ultra-short duodenum can be applied for such contiguously invasive gastric carcinoma to achieve a better quality of life, when conventional reconstruction techniques after total gastrectomy are not indicated.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Akimaru K,Kokuma M,Hideshima A,Gotoh M,Shibuya T,Shoji Tdoi
10.1007/BF00308986subject
Has Abstractpub_date
1993-01-01 00:00:00pages
1035-7issue
11eissn
0941-1291issn
1436-2813journal_volume
23pub_type
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