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. |
