New Type of Reconstruction Method after Subtotal Gastrectomy (Noh’s Operation)

The aim of this study was to compare a new type of reconstruction method (Noh’s operation) with Roux‐en‐Y operation after subtotal gastrectomy. Noh’s operation described herein includes a jejunal occlusion, an end‐to‐side gastrojejunostomy, a side‐to‐end jejunoduodenostomy, and a side‐to‐side jejunojejunostomy after subtotal gastrectomy. A series of 43 patients who had the new operation were compared with 47 patients with the Roux‐en‐Y procedure. The postgastrectomy syndromes, and the mucosal change of the remnant stomach and esophagus were evaluated after surgery. In the new operation, the Roux stasis syndrome occurred in 34.9% at 3 months, in 23.3% at 6 months, in 14.0% at 12 months, and in 11.6% at 24 months. In patients undergoing the Roux‐en‐Y operation, the syndrome occurred in 42.6% at 3 months, in 34.0% at 6 months, in 31.9% at 12 months, and in 29.8% at 24 months. This study shows that the new type of operation (Noh’s operation) can be a good option for reconstruction after subtotal gastrectomy.