ANATOMICAL RECONSTRUCTION AFTER TOTAL GASTRECTOMY BY JEJUNAL POUCH
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The concept of jejunal pouch interposition after total gas trectomy for cancer is reviewed in 15 patients there were 4 (28%) deaths in early and Late postoperative period due to either myocardial infarction or disseminated 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 benign stenosis of the distal anastomosis to the duodenum and required refashioning of cmastomotic site. The long term followup was good as regards, the symptoms except for mild oesophagitis due to bile reflux in 7 patients (47%). Body weight was maintained and adverse mutritional consequences were not observed.