AI Article Synopsis
- The authors present a technique for restoring gastrointestinal continuity through esoduodenal intubation, successfully applied in 17 cancer patients after total gastrectomy.
- This method involves approximating the duodenum near the diaphragm and allows for a physiological circuit that creates a protective new container against reflux within three months.
- None of the patients showed signs of reflux or esophagitis during follow-up with a 5.8% postoperative mortality rate, and the shortest follow-up was one year.
Article Abstract
On the basis of a series of 17 cases in which GI continuity was restored by a containing esoduodenal intubation, the authors describe the technique, which consists in the approximation of the duodenum opposite the diaphragm. Esophageal intubation in the duodenum, the margins of which have been everted, allows preserving the physiological circuit, producing a new container within 3 months and ensuring an effective protection against reflux. The 17 patients had undergone total gastrectomy for advanced cancer, Gutman's stage II in 80% of all cases and stage III or more in the other 20%. 88% of the tumors were adenocarcinomas. There were no clinical or radiological signs of reflux, and no esophagitis was noted on repeated endoscopies. The postoperative mortality rate was 5.8%. The shortest time lapse is 1 year.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!