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The Chinese-German Journal of Clinical Oncology

, Volume 1, Issue 3, pp 123–125 | Cite as

The application of FJI and its comparison with different alimentary reconstructions after total gastrectomy for cancer

  • Hao Xishan 
  • Li Qiang 
  • Yin Jian 
Original Articles

Abstract

Objective

To investigate the optimum reconstruction after total gastrectomy for malignant disease, especially the necessity of gastric substitute and duodenal passage.

Methods

Among the 459 total gastrectomy cases, 6 kinds of reconstructions had been used, including Braun, modified Braun I (mBraun I), modified Braun II (mBraun II), Roux-en-Y, “P” jejunal interposition (PJI) and functional jejunal interposition (FJI). Postoperative complains, body weight, food intake, serum nutritional paraments, complete blood count, half-emptying time of the gastric substitute, PNI, Visick index were evaluated one year after surgery.

Results

As compared with Braun group, the mBraun I, II and Roux-en-Y groups which had some kinds of gastric substitute showed less reflux esophagitis and higher serum total protein (P<0.01). As compared with mBraun I, II, Roux-en-Y, PJI and FJI groups which had duodenal passage showed better body weight, higher nutritional paraments and PNI (P<0.05).

Conclusion

It is essential to construct a gastric substitute and maintain the food chyme flowing through the duodenum after total gastrectomy, and the FJI is a better choice in this study.

Key words

gastric cancer total gastrectomy digestive tract reconstruction 

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Copyright information

© Editorial Office of The Chinese-German Journal of Clinical Oncology 2002

Authors and Affiliations

  • Hao Xishan 
    • 1
  • Li Qiang 
    • 1
  • Yin Jian 
    • 1
  1. 1.Abdominal Department, Cancer HospitalTianjin Medical UniversityTianjinChina

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