Esophagojejunostomy Following Gastrectomy for Gastric Carcinoma — A Follow-Up Study

Abstract

In Mannheim, a staged operative therapy in curable gastric carcinoma is performed. Differentiating factors are: localization, size, and metastasis of the tumor and general aspects such as, age and other preoperative risk factors (Table 1). In small tumors localized in the distal half of the stomach and with probably only perigastric lymph node metastases, a three-fourths gastric resection is thought to be sufficient. Omentectomy is also performed. For large tumors, tumors in the proximal gastric half, and those with probable metastases along the left gastric artery, a gastrectomy is performed (including omentum and spleen). Intestinal continuity is reestablished by jejunal interposition (Longmire). In cases with high risk, old age (70 years of age), and questionable curability, an esophagojejunostomy is done. According to Schlatter, a retrocolic terminolateral esophagojejunostomy is performed and an inframesocolic jejunojejunostomy (Braun) is done in addition.