J.Jpn. Surg. Soc.. 79(9): 1024-1029, 1978
Report on the annual meeting
COMPARISON OF RECONSTRUCTIVE METHODS AFTER GASTRECTOMY IN VIEW OF METABOLIC CHANGES AND REINSTATEMENT IN THE PREOPERATIVE POSITION
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First Department of Surgery, Kobe University School of Medicine, Kobe, Japan H. Ohyanagi, T. Michigami, Y. Nogi, T. Mitsuno |
The reinstatement of partial gastrectomized patients was better than that of total gastrectomized patients in its condition and term between operation and returning to the job. In partial gastrectomy BI surpassed BII, while jejunal Interposition surpassed Roux Y in total gastrectomy.
General condition according to the patient's feeling and postoperative body weight change were better in the reconstructive methods of food passage through the duodenum such as BI and Interposition than in the other reconstruction and seemed to be related to the reinstatement of the gastrectomized patients.
On the other hand, the general condition and or body weight change after operation were revealed to be related more closely to the postoperative metabolism in each reconstructive method than to the postoperative digestion and absorption of carbohydrates, protein and fat.
In view of metabolic pattern and hormonal changes in the reconstructive methods, it is possibly concluded that BI and jejunal Interposition on one hand, and BII and Roux Y on the other hand, had similar characteristic each other and also that the former two is superior to the latter two.
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