RT Journal
A1 Hoksch B, Zieren H, Müller JM
T1 REgular scintigraphic measurements of food transit following different types of reconstruction after total gastrectomy
JF Archives of Surgery
JO Archives of Surgery
YR 1999
FD November 1
VO 134
IS 11
SP 1270
OP 1273
DO 10.1001/archsurg.134.11.1270
UL http://dx.doi.org/10.1001/archsurg.134.11.1270
AB Hypothesis 
    Ideal reconstruction after gastrectomy should ensure that the patient has a sufficiently large enteric reservoir to accommodate normal meals. Little is known about the transit of food after different methods of stomach reconstruction. The hypothesis of this trial was that food transit after gastrectomy is delayed by a pouch reconstruction compared with reconstructions without a pouch.Design 
    Prospective.Setting 
    University hospital.Patients and Methods 
    A total of 27 patients underwent an interposition of a jejunal loop between the esophagus and the duodenum with (n=19) or without (n=8) a 7- or 15-cm proximal pouch reconstruction. Standardized scintigraphic measurements were performed to evaluate the food transit at fixed postoperative times.Main Outcome Measure 
    Scintigraphically measured food transit time.Results 
    The food transit time 1 year postoperatively was significantly prolonged in patients with the 15-cm pouch in comparison with those with the 7-cm pouch and those without a pouch reconstruction (P=.005, P=.012). Patients with a pouch reconstruction tended to have better eating habits.Conclusions 
    Our results confirm the hypothesis and suggest that interposition of a large 15-cm jejunal pouch can lead to a prolonged food transit time with enteric reservoir function resulting in better patient nutritional status.