Functional jejunal interposition versus conventional Roux-en-Y procedure as reconstruction procedures after total gastrectomy, a comparative study

Theodor Bilharz Research Institute

Bibliographic Information

Authors: Kalmoush A.-E.; Gertallah L.M.; Shaker S.E.; Allam A.S.; Elbaz M.; Abdallah A.M.; Ghoneme M.; Sherbiny M.; Sharaf A.L.; Harb O.A.; Elfeky M.A.; Eltaher A.K.; Abdelhady W.A.

Journal: Surgical Chronicles

Publisher: Surgical Society of Northern Greece

Publication Date: 2024

Volume / Issue: Volume 29 / Issue 1

Pages: 24–28

ISSN: 11085002

Scopus: View on Scopus

Document Type: Article

Authors and Affiliations

Kalmoush A.-E., Department of General Surgery, Faculty of Medicine, Alazhar University, Egypt; Gertallah L.M., Department of General Surgery, Faculty of Medicine, Zagazig University, Egypt; Shaker S.E., Department of Internal Medicine, Faculty of Medicine, Zagazig University, Egypt; Allam A.S., Department of Internal Medicine, Faculty of Medicine, Zagazig University, Egypt; Elbaz M., Department of Internal Medicine, Faculty of Medicine, Cairo University, Egypt; Abdallah A.M., Department of Family Medicine, Faculty of Medicine, Zagazig University, Egypt; Ghoneme M., Department of Hepatogastroenterology and Infectious Diseases, Faculty of Medicine, Alazhar University, Egypt; Sherbiny M., Department of Hepatology and Gastroenterology, Theodor Bilharz, Research Institute, Egypt; Sharaf A.L., Department of Tropical Medicine, Faculty of Medicine, Zagazig University, Egypt; Harb O.A., Department of Pathology, Zagazig University Faculty of Medicine, Zagazig University, Egypt; Elfeky M.A., Department of Pathology, Zagazig University Faculty of Medicine, Zagazig University, Egypt; Eltaher A.K., Department of General Surgery, Faculty of Medicine, Zagazig University, Egypt; Abdelhady W.A., Department of General Surgery, Faculty of Medicine, Zagazig University, Egypt

Abstract

Background: There are reconstructing methods of the alimentary tract after TLG as Roux-en-Y anastomosis and functional Jejunal interposition (FJI), and each of these methods has its advantages and drawbacks. But, no consensus has been reached yet about the best method. We aim to assess the post-operative outcomes of performing FJI or the Roux-en-Y procedure then jejunum transection as reconstruction procedures of the alimentary tract after performing TLG in gastric cancer patients and to compare between both procedures regarding post-operative complications and functional recovery. Patients and methods: We included 100 cases with clinical and radiological evidence of gastric carcinoma stages I-III. Patients were randomly divided for 2 equal groups the first group underwent FJI and the second group underwent Roux-en-Y as reconstructive techniques after performing gastrectomy. We correlate between both groups of patients regarding, operative parameters, post-operative complications. Results: time of the operation in patients who underwent PJI procedure was longer than that in patients who underwent Roux-en-Y procedure (P < 0.001). The postoperative hemoglobin, total protein and albumin in patients who underwent PJI procedure were higher than in patients who underwent Roux-en-Y procedure (P < 0.001). The post-operative loss in bodyweight at 3 and 12 months in the group of patients who underwent FJI groups was less than that in group of patients who underwent Roux-en-Y (P = 0.011). Conclusions: performing jejunal interposition as a reconstructive post-gastrectomy procedure is more effective than performing Roux-en-Y anastomosis regarding lowed incidence of postoperative complications and improving long-term post-operative life quality of patients. © 2024 Surgical Society of Northern Greece. All rights reserved.

Keywords

functional jejunal interposition; Roux-en-Y anastomosis; total gastrectomy

Citation Information

Scopus Citations: 0

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