Abstract
Restoring gastrointestinal continuity has remained an issue since the first successful gastrectomy. Although various reconstruction techniques are possible after gastrectomy, researchers and clinicians have yet to decide on an optimal or ideal reconstruction method. When choosing a reconstruction method, surgeons should seek to maintain, in addition to surgical and oncological stability, quality of life by ensuring nutritional intake after surgery.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Information Committee of Korean Gastric Cancer A. Korean gastric cancer association nationwide survey on gastric cancer in 2014. J Gastric Cancer. 2016;16(3):131–40. https://doi.org/10.5230/jgc.2016.16.3.131.
Lee JH, Hyung WJ, Kim HI, Kim YM, Son T, Okumura N, Hu Y, Kim CB, Noh SH. Method of reconstruction governs iron metabolism after gastrectomy for patients with gastric cancer. Ann Surg. 2013;258(6):964–9. https://doi.org/10.1097/SLA.0b013e31827eebc1.
Kim BJ, O’Connell T. Gastroduodenostomy after gastric resection for cancer. Am Surg. 1999;65(10):905–7.
Nance FC. New techniques of gastrointestinal anastomoses with the EEA stapler. Ann Surg. 1979;189(5):587–600.
Hori S, Ochiai T, Gunji Y, Hayashi H, Suzuki T. A prospective randomized trial of hand-sutured versus mechanically stapled anastomoses for gastroduodenostomy after distal gastrectomy. Gastric Cancer. 2004;7(1):24–30. https://doi.org/10.1007/s10120-003-0263-2.
Takahashi T, Saikawa Y, Yoshida M, Otani Y, Kubota T, Kumai K, Kitajima M. Mechanical-stapled versus hand-sutured anastomoses in billroth-I reconstruction with distal gastrectomy. Surg Today. 2007;37(2):122–6. https://doi.org/10.1007/s00595-006-3361-z.
An JY, Yoon SH, Pak KH, Heo GU, Oh SJ, Hyung WJ, Noh SH. A novel modification of double stapling technique in Billroth I anastomosis. J Surg Oncol. 2009;100(6):518–9. https://doi.org/10.1002/jso.21368.
Kim YN, Aburahmah M, Hyung WJ, Noh SH. A simple method for tension-free Billroth I anastomosis after gastrectomy for gastric cancer. Transl Gastroenterol Hepatol. 2017;2:51. https://doi.org/10.21037/tgh.2017.05.08.
Umasankar A, Kate V, Ananthakrishnan N, Smile SR, Jagdish S, Srinivasan K. Anterior or posterior gastro-jejunostomy with truncal vagotomy for duodenal ulcer—are they functionally different? Trop Gastroenterol. 2003;24(4):202–4.
Kojima K, Yamada H, Inokuchi M, Kawano T, Sugihara K. A comparison of Roux-en-Y and Billroth-I reconstruction after laparoscopy-assisted distal gastrectomy. Ann Surg. 2008;247(6):962–7. https://doi.org/10.1097/SLA.0b013e31816d9526.
Inokuchi M, Kojima K, Yamada H, Kato K, Hayashi M, Motoyama K, Sugihara K. Long-term outcomes of Roux-en-Y and Billroth-I reconstruction after laparoscopic distal gastrectomy. Gastric Cancer. 2013;16(1):67–73. https://doi.org/10.1007/s10120-012-0154-5.
Chin AC, Espat NJ. Total gastrectomy: options for the restoration of gastrointestinal continuity. Lancet Oncol. 2003;4(5):271–6.
Disclosures
This work was not supported by external or grant funding. None of the authors reports commercial associations or financial involvement that pose a conflict of interest in connection with the submitted article.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer-Verlag GmbH Germany, part of Springer Nature
About this chapter
Cite this chapter
Lee, J.H., Hyung, W.J. (2019). Open Surgery for Gastric Cancer: Reconstruction. In: Noh, S., Hyung, W. (eds) Surgery for Gastric Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45583-8_9
Download citation
DOI: https://doi.org/10.1007/978-3-662-45583-8_9
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-45582-1
Online ISBN: 978-3-662-45583-8
eBook Packages: MedicineMedicine (R0)