الفهرس 
Methods of Reconstruction after Total GastrectomyOnly 14 pages are availabe for public view
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Abstract
Stomach cancer was at the time, the main cause of death from cancer in the United States. It was usually treated by radical total gastrectomy in operable cases. Variable techniques were invented to restore the gut continuity, and to maintain a fair quality of life. The Rouxen-Y esophagojejunostomy technique has been used as the procedure of choice for gastric substitution. Then pouch reconstructions followed later, to imitate the reservoir function of the stomach, thus to try to overcome some side effects of the previous techniques. These side effects were named the post-gastrectomy syndromes, and included amongst many:
reflux esophagitis, dumping (early and late) syndrome, blind loop syndrome, anemia and others.
The post-gastrectomy syndromes resulted in a poor quality of life, colic and early satiety leaded ultimately to progressive loss of weight and emaciation, that might needed surgical correction if medical treatment failed.
The present study included thirty patients, with operable gastric cancers, who underwent total radical gastrectomy, with or without additional resections as splenectomy comparing the simple Roux-en-Y reconstructive procedure in fifteen patients (group A) with jejunal pouch reservoir reconstructive procedure in the other fifteen patients (group B) in the Menoufia University Hospital in the period from August 2005 to October 2007.
The postoperative result was compared in both group regarding the postgastrectomy syndromes and quality of life.