Distal pouch reconstruction with transverse jejunoplasty after experimental gastrectomy
Purpose Various reconstruction methods with or without reservoir formation after total gastrectomy have been established. Transverse intestinoplasty has benefits as a functional peristalsis modification in rectal resections. In this study, we evaluate a distal pouch combined with a transverse jejuno...
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| Veröffentlicht in: | Langenbeck's archives of surgery 2012, Vol.397 (1), p.63-67 |
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| creator | Hackert, Thilo Dovzhanskiy, Dmitriy I. Tudor, Stefan Heiser, Felix Bergmann, Greta Soliman, Hussein Schneider, Lutz Werner, Jens |
| description | Purpose
Various reconstruction methods with or without reservoir formation after total gastrectomy have been established. Transverse intestinoplasty has benefits as a functional peristalsis modification in rectal resections. In this study, we evaluate a distal pouch combined with a transverse jejunoplasty compared to standard Roux-en-Y reconstruction.
Methods
Total gastrectomy was performed on 23 pigs randomly assigned to 3 reconstruction groups—group 1 (
n
= 7): esophagojejunostomy without a pouch, group 2 (
n
= 8): esophagojejunostomy with a distal pouch, and group 3 (
n
= 8): distal pouch with a transverse jejunoplasty. Seven days postoperatively, weight was measured, and X-ray examinations were conducted for 1 h after oral contrast medium application. Blood glucose levels after oral glucose intake and the volume of the pouch loop were evaluated.
Results
Upper jejunal passage was delayed and the mean volume of the jejunal loop increased by pouch formation compared to controls (
p
|
| doi_str_mv | 10.1007/s00423-011-0826-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_906557973</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>906557973</sourcerecordid><originalsourceid>FETCH-LOGICAL-c343t-95e1b8d9813cfeb0f2ffddce4623e6a366d0b675f1e9d37ebbb32ccbb0dea5333</originalsourceid><addsrcrecordid>eNp9kD1PwzAQhi0EoqXwA1hQNqaAP2KnGVH5lCqxgBgt27m0iZI42A7Qf0-ilI5Md9K99-juQeiS4BuCcXrrMU4oizEhMV5SEbMjNCcJ4zFNODk-9AmboTPvK4yxSLPkFM0oSTlPGJ2jj_vSB1VHne3NNnJgbOuD600obRt9l2EbBada_wXOQ1RB1be2q5UPu0gVAVwEPx24soF2hGyGwYAIttmdo5NC1R4u9nWB3h8f3lbP8fr16WV1t44NS1iIMw5EL_NsSZgpQOOCFkWeG0gEZSAUEyLHWqS8IJDlLAWtNaPGaI1zUJwxtkDXE7dz9rMHH2RTegN1rVqwvZcZFpynWTomyZQ0znrvoJDdcLhyO0mwHHXKSaccdMpRpxx3rvb0XjeQHzb-_A0BOgX8MGo34GRle9cOH_9D_QXzjYOL</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>906557973</pqid></control><display><type>article</type><title>Distal pouch reconstruction with transverse jejunoplasty after experimental gastrectomy</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Hackert, Thilo ; Dovzhanskiy, Dmitriy I. ; Tudor, Stefan ; Heiser, Felix ; Bergmann, Greta ; Soliman, Hussein ; Schneider, Lutz ; Werner, Jens</creator><creatorcontrib>Hackert, Thilo ; Dovzhanskiy, Dmitriy I. ; Tudor, Stefan ; Heiser, Felix ; Bergmann, Greta ; Soliman, Hussein ; Schneider, Lutz ; Werner, Jens</creatorcontrib><description>Purpose
Various reconstruction methods with or without reservoir formation after total gastrectomy have been established. Transverse intestinoplasty has benefits as a functional peristalsis modification in rectal resections. In this study, we evaluate a distal pouch combined with a transverse jejunoplasty compared to standard Roux-en-Y reconstruction.
Methods
Total gastrectomy was performed on 23 pigs randomly assigned to 3 reconstruction groups—group 1 (
n
= 7): esophagojejunostomy without a pouch, group 2 (
n
= 8): esophagojejunostomy with a distal pouch, and group 3 (
n
= 8): distal pouch with a transverse jejunoplasty. Seven days postoperatively, weight was measured, and X-ray examinations were conducted for 1 h after oral contrast medium application. Blood glucose levels after oral glucose intake and the volume of the pouch loop were evaluated.
Results
Upper jejunal passage was delayed and the mean volume of the jejunal loop increased by pouch formation compared to controls (
p
< 0.05). Body weight was the best for the pouch group with jejunoplasty (−1.9 ± 0.8% vs. pouch alone −3.3 ± 2.4% vs. no pouch −7.5 ± 2.1%,
p
< 0.05).
Conclusions
The distal jejunal pouch after total gastrectomy offers advantages with respect to bowel passage and postoperative nutrition status compared to standard Roux-en-Y reconstruction. The combination of a distal pouch and transverse jejunoplasty may provide additional functional benefits.</description><identifier>ISSN: 1435-2443</identifier><identifier>EISSN: 1435-2451</identifier><identifier>DOI: 10.1007/s00423-011-0826-3</identifier><identifier>PMID: 21755432</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Abdominal Surgery ; Anastomosis, Roux-en-Y ; Animals ; Blood Glucose - metabolism ; Cardiac Surgery ; Esophagus - surgery ; Gastrectomy ; General Surgery ; Jejunum - surgery ; Medicine ; Medicine & Public Health ; Original Article ; Reconstructive Surgical Procedures - methods ; Sus scrofa ; Thoracic Surgery ; Traumatic Surgery ; Vascular Surgery</subject><ispartof>Langenbeck's archives of surgery, 2012, Vol.397 (1), p.63-67</ispartof><rights>Springer-Verlag 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c343t-95e1b8d9813cfeb0f2ffddce4623e6a366d0b675f1e9d37ebbb32ccbb0dea5333</citedby><cites>FETCH-LOGICAL-c343t-95e1b8d9813cfeb0f2ffddce4623e6a366d0b675f1e9d37ebbb32ccbb0dea5333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00423-011-0826-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00423-011-0826-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21755432$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hackert, Thilo</creatorcontrib><creatorcontrib>Dovzhanskiy, Dmitriy I.</creatorcontrib><creatorcontrib>Tudor, Stefan</creatorcontrib><creatorcontrib>Heiser, Felix</creatorcontrib><creatorcontrib>Bergmann, Greta</creatorcontrib><creatorcontrib>Soliman, Hussein</creatorcontrib><creatorcontrib>Schneider, Lutz</creatorcontrib><creatorcontrib>Werner, Jens</creatorcontrib><title>Distal pouch reconstruction with transverse jejunoplasty after experimental gastrectomy</title><title>Langenbeck's archives of surgery</title><addtitle>Langenbecks Arch Surg</addtitle><addtitle>Langenbecks Arch Surg</addtitle><description>Purpose
Various reconstruction methods with or without reservoir formation after total gastrectomy have been established. Transverse intestinoplasty has benefits as a functional peristalsis modification in rectal resections. In this study, we evaluate a distal pouch combined with a transverse jejunoplasty compared to standard Roux-en-Y reconstruction.
Methods
Total gastrectomy was performed on 23 pigs randomly assigned to 3 reconstruction groups—group 1 (
n
= 7): esophagojejunostomy without a pouch, group 2 (
n
= 8): esophagojejunostomy with a distal pouch, and group 3 (
n
= 8): distal pouch with a transverse jejunoplasty. Seven days postoperatively, weight was measured, and X-ray examinations were conducted for 1 h after oral contrast medium application. Blood glucose levels after oral glucose intake and the volume of the pouch loop were evaluated.
Results
Upper jejunal passage was delayed and the mean volume of the jejunal loop increased by pouch formation compared to controls (
p
< 0.05). Body weight was the best for the pouch group with jejunoplasty (−1.9 ± 0.8% vs. pouch alone −3.3 ± 2.4% vs. no pouch −7.5 ± 2.1%,
p
< 0.05).
Conclusions
The distal jejunal pouch after total gastrectomy offers advantages with respect to bowel passage and postoperative nutrition status compared to standard Roux-en-Y reconstruction. The combination of a distal pouch and transverse jejunoplasty may provide additional functional benefits.</description><subject>Abdominal Surgery</subject><subject>Anastomosis, Roux-en-Y</subject><subject>Animals</subject><subject>Blood Glucose - metabolism</subject><subject>Cardiac Surgery</subject><subject>Esophagus - surgery</subject><subject>Gastrectomy</subject><subject>General Surgery</subject><subject>Jejunum - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Sus scrofa</subject><subject>Thoracic Surgery</subject><subject>Traumatic Surgery</subject><subject>Vascular Surgery</subject><issn>1435-2443</issn><issn>1435-2451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwA1hQNqaAP2KnGVH5lCqxgBgt27m0iZI42A7Qf0-ilI5Md9K99-juQeiS4BuCcXrrMU4oizEhMV5SEbMjNCcJ4zFNODk-9AmboTPvK4yxSLPkFM0oSTlPGJ2jj_vSB1VHne3NNnJgbOuD600obRt9l2EbBada_wXOQ1RB1be2q5UPu0gVAVwEPx24soF2hGyGwYAIttmdo5NC1R4u9nWB3h8f3lbP8fr16WV1t44NS1iIMw5EL_NsSZgpQOOCFkWeG0gEZSAUEyLHWqS8IJDlLAWtNaPGaI1zUJwxtkDXE7dz9rMHH2RTegN1rVqwvZcZFpynWTomyZQ0znrvoJDdcLhyO0mwHHXKSaccdMpRpxx3rvb0XjeQHzb-_A0BOgX8MGo34GRle9cOH_9D_QXzjYOL</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Hackert, Thilo</creator><creator>Dovzhanskiy, Dmitriy I.</creator><creator>Tudor, Stefan</creator><creator>Heiser, Felix</creator><creator>Bergmann, Greta</creator><creator>Soliman, Hussein</creator><creator>Schneider, Lutz</creator><creator>Werner, Jens</creator><general>Springer-Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2012</creationdate><title>Distal pouch reconstruction with transverse jejunoplasty after experimental gastrectomy</title><author>Hackert, Thilo ; Dovzhanskiy, Dmitriy I. ; Tudor, Stefan ; Heiser, Felix ; Bergmann, Greta ; Soliman, Hussein ; Schneider, Lutz ; Werner, Jens</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c343t-95e1b8d9813cfeb0f2ffddce4623e6a366d0b675f1e9d37ebbb32ccbb0dea5333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Abdominal Surgery</topic><topic>Anastomosis, Roux-en-Y</topic><topic>Animals</topic><topic>Blood Glucose - metabolism</topic><topic>Cardiac Surgery</topic><topic>Esophagus - surgery</topic><topic>Gastrectomy</topic><topic>General Surgery</topic><topic>Jejunum - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Sus scrofa</topic><topic>Thoracic Surgery</topic><topic>Traumatic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hackert, Thilo</creatorcontrib><creatorcontrib>Dovzhanskiy, Dmitriy I.</creatorcontrib><creatorcontrib>Tudor, Stefan</creatorcontrib><creatorcontrib>Heiser, Felix</creatorcontrib><creatorcontrib>Bergmann, Greta</creatorcontrib><creatorcontrib>Soliman, Hussein</creatorcontrib><creatorcontrib>Schneider, Lutz</creatorcontrib><creatorcontrib>Werner, Jens</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Langenbeck's archives of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hackert, Thilo</au><au>Dovzhanskiy, Dmitriy I.</au><au>Tudor, Stefan</au><au>Heiser, Felix</au><au>Bergmann, Greta</au><au>Soliman, Hussein</au><au>Schneider, Lutz</au><au>Werner, Jens</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Distal pouch reconstruction with transverse jejunoplasty after experimental gastrectomy</atitle><jtitle>Langenbeck's archives of surgery</jtitle><stitle>Langenbecks Arch Surg</stitle><addtitle>Langenbecks Arch Surg</addtitle><date>2012</date><risdate>2012</risdate><volume>397</volume><issue>1</issue><spage>63</spage><epage>67</epage><pages>63-67</pages><issn>1435-2443</issn><eissn>1435-2451</eissn><abstract>Purpose
Various reconstruction methods with or without reservoir formation after total gastrectomy have been established. Transverse intestinoplasty has benefits as a functional peristalsis modification in rectal resections. In this study, we evaluate a distal pouch combined with a transverse jejunoplasty compared to standard Roux-en-Y reconstruction.
Methods
Total gastrectomy was performed on 23 pigs randomly assigned to 3 reconstruction groups—group 1 (
n
= 7): esophagojejunostomy without a pouch, group 2 (
n
= 8): esophagojejunostomy with a distal pouch, and group 3 (
n
= 8): distal pouch with a transverse jejunoplasty. Seven days postoperatively, weight was measured, and X-ray examinations were conducted for 1 h after oral contrast medium application. Blood glucose levels after oral glucose intake and the volume of the pouch loop were evaluated.
Results
Upper jejunal passage was delayed and the mean volume of the jejunal loop increased by pouch formation compared to controls (
p
< 0.05). Body weight was the best for the pouch group with jejunoplasty (−1.9 ± 0.8% vs. pouch alone −3.3 ± 2.4% vs. no pouch −7.5 ± 2.1%,
p
< 0.05).
Conclusions
The distal jejunal pouch after total gastrectomy offers advantages with respect to bowel passage and postoperative nutrition status compared to standard Roux-en-Y reconstruction. The combination of a distal pouch and transverse jejunoplasty may provide additional functional benefits.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21755432</pmid><doi>10.1007/s00423-011-0826-3</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1435-2443 |
| ispartof | Langenbeck's archives of surgery, 2012, Vol.397 (1), p.63-67 |
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| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Abdominal Surgery Anastomosis, Roux-en-Y Animals Blood Glucose - metabolism Cardiac Surgery Esophagus - surgery Gastrectomy General Surgery Jejunum - surgery Medicine Medicine & Public Health Original Article Reconstructive Surgical Procedures - methods Sus scrofa Thoracic Surgery Traumatic Surgery Vascular Surgery |
| title | Distal pouch reconstruction with transverse jejunoplasty after experimental gastrectomy |
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