Double Tract Reconstruction (DTR) - An Alternative Type of Digestive Tract Reconstructive Procedure After Total Gastrectomy - Own Experience

• Authors: Roman Bandurski , Mariusz Gryko , Zbigniew Kamocki , Bogna Okulczyk , Konrad Zaręba , Zdzisław Piotrowski , Bogusław Kędra
• Languages of publication: EN

Abstracts

EN

The only proven, effective therapy in case of the gastric cancers is surgery.The aim of the study. The most common procedure which is made in such a situation is total resection of the stomach. In our publication we would like to present and to recommend a very rare made type of the reconstructive procedures after total gastrectomy, which is called "double tract reconstruction" (DTR). This type of reconstruction is occasionally made mainly in Japan.Material and methods. Double tract reconstruction has been made in 2nd Department of General and Gastroenterological Surgery since 2000. Till today 75 patients were treated with this method.Results. The frequency of complications after double tract reconstruction was occasional, and there were no differences between this procedure and Roux-en-Y method of the reconstruction. There were no differences in the time of the operation between this two methods. The most important advantage of this method is that duodenal passage is extant. Because of that the endoscopic examination of papilla Vateri can be made.Conclusions. We would like to recommend this method as an alternative to Roux-en-Y procedure because of its simplicity and safeness.

Keywords

EN

gastric cancer; double tract reconstruction; Roux-en-Y procedure; gastrectomy

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2011
• Volume: 83
• Issue: 2
• Pages: 70-75

Dates

published

1 - 2 - 2011

online

30 - 3 - 2011

Contributors

author

Roman Bandurski

• 2 Department of General and Gastroenterological Surgery, University Clinical Hospital in Białystok

author

Mariusz Gryko

• 2 Department of General and Gastroenterological Surgery, University Clinical Hospital in Białystok

author

Zbigniew Kamocki

• 2 Department of General and Gastroenterological Surgery, University Clinical Hospital in Białystok

author

Bogna Okulczyk

• 2 Department of General and Gastroenterological Surgery, University Clinical Hospital in Białystok

author

Konrad Zaręba

• 2 Department of General and Gastroenterological Surgery, University Clinical Hospital in Białystok

author

Zdzisław Piotrowski

• 2 Department of General and Gastroenterological Surgery, University Clinical Hospital in Białystok

author

Bogusław Kędra

• 2 Department of General and Gastroenterological Surgery, University Clinical Hospital in Białystok

References

• Barrett MW, Myers JC, Watson DI et al.: Detection of bile reflux: in vivo validation of the Bilitec fibreoptic system. Dis Oesophagus 2000; 13: 44.
• Hubens A, Van Hee R, Van Vooren W et al.: Reconstruction of the digestive tract after total gastrectomy. Hepatogastroenterol 1989; 36: 18-22.
• Lehnert T, Buhl K: Techniques of reconstruction after total gastrectomy for cancer. Br J Surg 2004; 91: 528-39.
• Liedman B: Symptoms after total gastrectomy on food intake, body composition, bone metabolizm, and quality of livfe in gastric cancer patients - is reconstruction with a reservoir worthwhile? Nutrition 1999; 15: 677-82.[Crossref]
• Sekiyama S, Takagi S, Kondo Y: Periferal neuropaty due to thiamine deficiency after inappropriate diet and total gastrectomy. Tokai J Exp Clin Med 2005; 30: 137-40.
• Sharma D: Choice of digestive tract reconstructive procedure following total gastrectomy: A critical reappraisal. Indian J Surg 2004; 65: 270-76.
• Mabrut JY, Collard JM, Romagnoli R et al.: Oesophagal and gastric bile exposure after gastroduodenal surgery with Henleys interposition or Roux-en-Y loop. Br J Surg 2004; 91: 580-85.
• Kajitani K, Sato E: Evaluation of the procedures of total gastrectomy and proximal gastrectomy (in Japanese). J Jpn Surg Soc 1965; 66: 1285-87.
• Fujiwara Y, Kusunoki M, Nakagawa K et al.: Scintigraphic assesment of double tract reconstruction after total gastrectomy. Dig Surg 1998; 15: 404-09.[Crossref]
• Ichikura T, Chochi K, Sugasawa H et al.: Antireflux contrivance in jejunal pouch reconstruction after total and proximal gastrectomies. Dig Surg 2006; 23: 381-86.[Crossref][PubMed]
• Iwahashi M, Nakamori M, Nakamura M et al.: Evaluation of double tract reconstruction after total gastrectomy with gastric cancer: prospective randomized controlled trial. World J Surg 2009; 33: 1882-88.[Crossref][WoS]
• Kondoh Y, Okamoto Y, Morita M et al.: Clinical outcome of jejunal pouch double-tract re constru ction after total gastrectomy. Hepatogastroenterology 2008; 55: 1118-21.
• Maksimovic S: Double tract reconstruction after total gastrectomy in patients with gastric cancer: our experience. Med Arch 2010; 64: 116-18.
• Ogoshi K, Okamoto Y, Nabeshima K et al.: Focus on the conditions of resection and reconstruction in gastric cancer. Digestion 2005; 71: 213-24.[Crossref][PubMed]
• Seva-Pereira G, Lopes LR, Brandalise NA et al.: Fat absorbtion after gastrectomy in rats submitted to Roux-en-Y or Rosanov-like double tract technique. Acta Clinica Brasil 2006; 21: 380-84.
• Takase M, Sumiyama Y, Nagao J: Quantitive evaluatio of re construction methods after gastrectomy using a new type of examination: digestion and absorbtion test with stable isotope C13-labeled lipid compound. Gastric Cancer 2003; 6: 131-41.
• Adachi S, Inagawa S, Enomoto T et al.: Subjective and functional result after total gastrectomy: prospective study for long term comparison of reconstruction procedures. Gastric Cancer 2003; 6(1): 24-29.[Crossref]
• Kalmar K, Nemeth J, Kelemen A et al.: Postprandial gastrointestinal hormone production is different, depending on the type of re construction following total gastrectomy. Ann Surg 2006; 243 (4): 465-471.
• Fein M, Fuchs KH, Thlheimer A et al.: Long-term benefits of Roux-en-Y re construction after total gastrectomy. Ann Surg 2008; 247: 759-65.[WoS]
• Gertler R, Rosenberg R, Feith M et al.: Pouch vs no pouch following total gastrectomy: meta-analysis and systematic review. Am J of Gastroenterology 2009; 104: 2838-51.[Crossref]
• Wei H-B, Wei B, Zheng Z-H et al.: Comparative study on three types of alimentary reconstruction after total gastrectomy. J Gastrointest Surg 2008; 12: 1376-82.[WoS][Crossref][PubMed]

Identifiers

DOI

10.2478/v10035-011-0011-y