Isoperistaltic Jejunal Loop Interposition after Total Gastrectomy for Gastric Cancer in Patients with Familial Adenomatous Polyposis.

Endoscopy Pathology Surgery

Journal

Journal of gastric cancer
ISSN: 2093-582X
Titre abrégé: J Gastric Cancer
Pays: Korea (South)
ID NLM: 101559430

Informations de publication

Date de publication:
Jun 2020
Historique:
received: 29 12 2019
revised: 12 03 2020
accepted: 02 04 2020
entrez: 30 6 2020
pubmed: 1 7 2020
medline: 1 7 2020
Statut: ppublish

Résumé

Gastric cancer is a rare condition affecting patients with familial adenomatous polyposis (FAP). The mainstay of treatment is total gastrectomy. Since duodenal cancer is the most common cause of death after total colectomy in FAP, endoscopic surveillance for duodenal cancer is mandatory. Here, we describe the use of an isoperistaltic jejunal loop interposition technique to reconstruct the digestive tract after total gastrectomy in 2 patients with FAP. There were no early or late complications. Both patients are still alive and in good clinical condition. They did not experience weight loss or symptoms of dumping syndrome. Duodenal endoscopic surveillance after this technique was easier than after the classical Roux-en-Y reconstruction. Hence, regular follow-up was possible for both patients.

Identifiants

pubmed: 32596005
doi: 10.5230/jgc.2020.20.e16
pmc: PMC7311215
doi:

Types de publication

Case Reports

Langues

eng

Pagination

225-231

Informations de copyright

Copyright © 2020. Korean Gastric Cancer Association.

Déclaration de conflit d'intérêts

Conflict of Interest: No potential conflict of interest relevant to this article was reported.

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Auteurs

Matteo Zuin (M)

Dipartimento di Scienze Chirurgiche, Oncologiche e Gastroenterologiche, Clinica Chirurgica I, Azienda Ospedaliera di Padova, Università di Padova, Padova, Italy.

Francesco Celotto (F)

Dipartimento di Scienze Chirurgiche, Oncologiche e Gastroenterologiche, Clinica Chirurgica I, Azienda Ospedaliera di Padova, Università di Padova, Padova, Italy.

Salvatore Pucciarelli (S)

Dipartimento di Scienze Chirurgiche, Oncologiche e Gastroenterologiche, Clinica Chirurgica I, Azienda Ospedaliera di Padova, Università di Padova, Padova, Italy.

Emanuele Damiano Luca Urso (EDL)

Dipartimento di Scienze Chirurgiche, Oncologiche e Gastroenterologiche, Clinica Chirurgica I, Azienda Ospedaliera di Padova, Università di Padova, Padova, Italy.

Classifications MeSH