Roux-en-Y reconstruction with stapled distal jejunal pouch after total gastrectomy

Sumiya Ishigami, Kuniaki Aridome, Akihiro Nakajo, Masataka Matsumoto, Yasuto Uchikado, Tetsuro Setoyama, Takaaki Arigami, Hideo Arima, Shinichi Ueno, Yuko Kijima, Takashi Aikou, Shoji Natsugoe

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)


Roux-en-Y reconstruction after total gastrectomy is a simple and safe procedure; however, it eliminates the gastric reservoir function and markedly changes the postoperative digestive physiology. The patients therefore suffer from insufficient food intake and malabsorption. It has been reported that jejunal pouch reconstruction increases food intake and improves the nutritional status. We established a novel Roux-en-Y reconstruction with stapled distal jejunal pouch after total gastrectomy. A jejunal pouch, 8 cm in size, was attached at the jejunojejunostomy. We performed this novel reconstruction for 20 gastric cancer patients after total gastrectomy with lymph node dissection as a feasible study. One year after operation, the average percentage weight was maintained in more than 90 per cent and 17 (85%) of these patients were in the normal range of the body mass index. This procedure may improve postoperative malnutrition after total gastrectomy according to our feasible study. A multicenter randomized trial of this approach comparing with Roux-en-Y reconstruction without a pouch is ongoing.

Original languageEnglish
Pages (from-to)526-528
Number of pages3
JournalAmerican Surgeon
Issue number5
Publication statusPublished - 05-2010
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery


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