Gastric resevoir reconstruction

A near total gastrectomy mandates a Roux-en-Y type reconstruction. Otherwise, the extremely bothersome syndrome of alkaline reflux esophagitis results. The question then becomes whether a standard Roux-Y or some sort of Roux-Y-reservoir is best for

Hunt Lawrence Pouch

Hunt-Lawrence Pouch Tanner Roux-19 Pouch

Fig. 7. Gastric reservoir reconstruction for small stomach syndrome. The Hunt-Lawrence pouch and Tanner Roux-19 pouch are the most common gastric reservoir operations. Arrows show the general direction of peristaltic waves.

Hunt-Lawrence Pouch Tanner Roux-19 Pouch

Fig. 7. Gastric reservoir reconstruction for small stomach syndrome. The Hunt-Lawrence pouch and Tanner Roux-19 pouch are the most common gastric reservoir operations. Arrows show the general direction of peristaltic waves.

the patient. The two most common reservoir procedures are both based on the Roux-Y. These are Hunt Lawrence Pouch and the Tanner 19 Roux-en-Y (Fig. 7).

A straight Roux-en-Y gastrojejunostomy is the most technically simple procedure following near-total gastrectomy, and thus likely to have less immediate postoperative complications and cost. Patients with a gastric reservoir after primary gastric resection appear to have fewer alimentary symptoms over the long term following near-total or total gastrectomy for cancer. The data is less certain for patients that require a near-total gastrectomy for postgastrectomy syndromes, and further studies are needed to make a recommendation.

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Responses

  • Destiny Scott
    What is a partial gastrectomy with roux en y reconstruction?
    7 years ago

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