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Noh, Bae, Jeong, Lee, Cho, Shin, Song, and Lee: Jejunal Interposition after Total Gastrectomy
Original Article

Journal of the Korean Gastric Cancer Association 2001; 1(4): 210-214.

Published online: 14 March 2017

DOI: https://doi.org/10.5230/jkgca.2001.1.4.210

Jejunal Interposition after Total Gastrectomy

Seung Moo Noh1, 6, Jin Sun Bae1, Hyun Yong Jeong2, Byong Seok Lee2, June Sik Cho3, Kyung Sook Shin3, Kyu Sang Song4, Tae yong Lee5

1Department of General Surgery, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.

2Department of Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.

3Department of Diagnostic Radiology, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.

4Department of Pathology, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.

5Department of Preventive & Public Health, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.

6Chungnam National University Cancer Research Institute, Daejeon, Korea.

Corresponding author (seungnoh@cnu.ac.kr)

Copyrights © 2001 by The Korean Gastric Cancer Association

Abstract

Purpose

The aim of this study was to evaluate the short-term outcome of a jejunal interposition, by comparing it with a conventional Roux-en-Y gastrojejunostomy, after a total gastrectomy.

Matenrials and Methods

For 28 patients (20 men and 8 women) with a gastric adenocarcinoma, who underwent an isoperistaltic simple jejunal interposition, weight, hemoglobin, hematocrit, serum protein and albumin, and cholesterol levels were checked before the operation and at 1 year and 2 years after the surgery. Also, endoscopy was performed to confirm reflux esophagitis. In this study, the data were collected between January 1993 and July 1999 at Chungnam National University Hospital, and the results were compared with those of the Roux-en-Y procedure.

Results

The body weights at 1 year and 2 years after the surgery had returned to 86.0% and 87.6% of the recent original body weight in the jejunal interposition (JI) group and to 90.8%, 87.0%, respectively in the Roux-en-Y (RY) group. The levels of hemoglobin (g/dl) were 13.3, 12.5, and 11.9 in the JI group, and 13.8, 12.6, and 12.1 in the RY group at the time of the operation and at 1 year, and 2 years after the surgery, respectively. The total serum protein (g/dl) levels were 7.1, 7.2, and 7.5 in the JI group and 7.1, 7.0, and 7.2 in the RY gropu at the time of the operation and at 1 year and 2 years after the surgery, respectively. The serum albumin (g/dl) levels were 4.2, 4.1, and 4.2 in the JI group and 4.2, 4.2, and 4.2 in the RY group at the time of the operation and at 1 year, and 2 years after the surgery, respectively. The total serum cholesterol (mg/dl) levels were 186.5, 174, and 164 in the JI group and 213.7, 171.1, and 141.0 in the RY group at the time of the operation and at 1 year and 2 years after the surgery, respectively. The endoscopic finding showed that reflux esophagitis occurred in 7.1% of the patients in the JI group and in 3.5% in the RY group.

Conclusion

We think that from the view point of quality of life, a jejunal interposition, as well as a Roux-en-Y procedure, is a useful reconstruction methods for a total gastrectomy.

Keywords: Total gastrectomy, Jejunal interposition, Roux-en-Y esophagojejunostomy

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