Roux-EN-Y esophagojejunostomy after total gastrectomy for gastric malignancy
Joint Authors
Taha, Safwan A.
Khayyat, Hashim S.
Source
Issue
Vol. 12, Issue 2 (30 Sep. 2006)6 p.
Publisher
University of Basrah College of Medicine
Publication Date
2006-09-30
Country of Publication
Iraq
No. of Pages
6
Main Subjects
Topics
Abstract EN
Out of 62 patients who underwent total gastrectomy for gastric malignancy, 40 patients had roux-en-y esophagojejunostomy.
Their age ranged from 32 to 70 years.
Seventeen patients were less than 60 years old and 27 were older.
There were 23 males and 17 females.
Operations were done through thoraco-abdominal incisions in 28 patients and upper midline incisions in 12.
The anastomoses, on the other hand, were hand sewn in 34 patients and stapled in the other 6.
The procedure included splenectomy in 37 patients, distal pancreatectomy in 6 and transverse colectomy in 2 patients.
Postoperative complications included chest infection (8 patients), wound infection (7 patients) and anastomotic leak (1 patient).
Eleven patients died postoperatively, the leading cause being pulmonary embolism, respiratory failure and over-whelming sepsis.
Out of our surviving patients, 4 (10 %) are still alive 5 years or more after surgery and are enjoying good health.
Our results are well within the international figures although we think that the outlook could have improved had we gained access to certain facilities like hyperalimentation, chest physiotherapy units and measures that could prevent deep venous thrombosis.
Roux-en-y esophagojejunostomy is a safe method to restore the continuity of the alimentary tract after gastrectomy.
It requires less time than “pouch-forming” procedures, has less incidence of anastomotic leakage, produces acceptable morbidity and mortality, gives good nutritional value and does not require the special expertise needed to perform the “pouch-forming” procedures.
American Psychological Association (APA)
Khayyat, Hashim S.& Taha, Safwan A.. 2006. Roux-EN-Y esophagojejunostomy after total gastrectomy for gastric malignancy. Basrah Journal of Surgery،Vol. 12, no. 2.
https://search.emarefa.net/detail/BIM-347414
Modern Language Association (MLA)
Khayyat, Hashim S.& Taha, Safwan A.. Roux-EN-Y esophagojejunostomy after total gastrectomy for gastric malignancy. Basrah Journal of Surgery Vol. 12, no. 2 (Sep. 2006).
https://search.emarefa.net/detail/BIM-347414
American Medical Association (AMA)
Khayyat, Hashim S.& Taha, Safwan A.. Roux-EN-Y esophagojejunostomy after total gastrectomy for gastric malignancy. Basrah Journal of Surgery. 2006. Vol. 12, no. 2.
https://search.emarefa.net/detail/BIM-347414
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-347414