| Theme | Clinical Problems after Gastrectomy | |
|---|---|---|
| Title | Types of Reconstruction Following Total, Distal and Proximal Gastrectomies | |
| Publish Date | 2009/10 | |
| Author | Eiji Nomura | Department of General and Gastroenterological Surgery |
| Author | Sang-Woong Lee | Department of General and Gastroenterological Surgery |
| Author | Nobuhiko Tanigawa | Department of General and Gastroenterological Surgery |
| [ Summary ] | While reconstruction following gastrectomies has a history of approximately 130 years starting with the Billroth I procedure, the optimal procedure is still being sought through trial and error. There are several requirements regarding reconstruction following gastrectomy, including : A) the prevention of the reflux of gastrointestinal fluid into the esophagus or remnant stomach, B) safety of anastomosis, C) retention of the abilities to store and discharge food, D) creation of a physiologic route for food passage, and E) ease of postoperative endoscopic examination of the remnant stomach and pancreatic and biliary systems. However, no method which fulfills all of these conditions has been created. Surgeons and other facility members select procedures considered to be the most appropriate for each patient depending on the patient's situation and social needs. | |