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Comparison of functional outcomes between functional jejunal interposition and conventional Roux-en-Y esophagojejunostomy after total gastrectomy for gastric cancer

Digestive Surgery Oct 22, 2019

Yun L, et al. - Functional outcomes of two reconstruction techniques [functional jejunal interposition (FJI) vs Roux-en-Y esophagojejunostomy] following total gastrectomy were compared. Among 60 patients enrolled, researchers observed significantly higher postoperative prognostic nutritional index scores and postoperative/preoperative body weight, meal intake, serum albumin level ratio among patients who underwent FJI than those who underwent Roux-en-Y. Based on findings it seems that FJI reconstruction expedites the recovery of nutritional status and lessens the occurrence of stasis symptoms postoperatively as compared with Roux-en-Y esophagojejunostomy, which may have an advantage over FJI in stabilizing body glycometabolism after surgery. These 2 types of reconstruction seem to be comparable in anti-reflux function to prevent severe reflux esophagitis and anastomotic stenosis.
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