The concept ofjejunal pouch interposition after total gastrectomy for
cancer is reviewed in 15 patients there were 4 (28%) deaths in early and
late postoperative period due to either myocardial infarction or dissemi
nated malignancy . Anastomotic leaks all from proximal anastomosis
were encountered in two patients (14%), Obstruction of the pouch or its
conduit by recurrent tumour was not observed in any patient including
those who died from metastatic disease. There was one instance of be
nign stenosis of the distal anastomosis to the duodenum and required re
fashioning of anastomotic site. The long termfollowup was good as re
gards, the symptoms except for mild oesophagitis due to bile reftux in 7
patients (47%). Body weight was maintained and adverse mutritional
consequences were not observed.
|
