Role of pyloroplasty after proximal gastrectomy for cancer.

Background/aims: The necessity of pyloroplasty as a drainage procedure after proximal gastrectomy remains controversial in terms of the postoperative quality of life. The aim of this retrospective study was to evaluate whether pyloroplasty is necessary after proximal gastrectomy.

Methodology: Thirty-five patients who underwent proximal gastrectomy with jejunal interposition between 1993 and 2000 were studied.

Combined S-1 and cisplatin preoperative chemotherapy for patients with advanced gastric cancer: report of five cases.

Background/aims: A high response rate with acceptable toxicities is required in the setting of neoadjuvant chemotherapy. Five cases (3 stage IV, 2 stage IIIb) of advanced gastric cancer were successfully treated by neoadjuvant chemotherapy consisting of a combination of S-1 and cisplatin.

Methodology: All 5 patients were men younger than age 60, with no severe complications.

Jejunal interposition helps prevent reflux gastritis.

Background/aims: Jejunal interposition after distal gastrectomy is reported to prevent both duodenogastric reflux and rapid gastric emptying. However, comparing primary reconstruction with this procedure and Billroth-I in terms of clinical evaluation by the same surgeon is rare. In this study, the benefit of this procedure was retrospectively evaluated as compared to the Billroth-I method.