Esophagogastrostomy Plus Gastrojejunostomy: A Novel Reconstruction Procedure after Curative Resection for Proximal Gastric Cancer

详细信息    查看全文

• 作者：Shicai Chen (1)
  Jianchang Li (1)
  Haiying Liu (1)
  Jun Zeng (2)
  Guohua Yang (1)
  Jin Wang (1)
  Weiqun Lu (1)
  Nanrong Yu (1)
  Zhiliang Huang (1)
  Houwei Xu (1)
  Xiang Zeng (1)
  
• 关键词：Gastric cancer ; Gastrectomy ; Esophagogastrostomy ; Gastrojejunostomy
• 刊名：Journal of Gastrointestinal Surgery
• 出版年：2014
• 出版时间：March 2014
• 年：2014
• 卷：18
• 期：3
• 页码：497-504
• 全文大小：343 KB
• 参考文献：1. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin 2011; 61: 69-0. CrossRef
  2. Dolan K, Sutton R, Walker SJ, Morris AI, Campbell F, Williams EM. New classification of oesophageal and gastric carcinomas derived from changing patterns in epidemiology. Br J Cancer 1999; 80: 834-42. CrossRef
  3. Harrison LE, Karpeh MS, Brennan MF. Proximal gastric cancers resected via a transabdominal-only approach. Results and comparisons to distal adenocarcinoma of the stomach. Ann Surg 1997; 225:678-83. CrossRef
  4. Crew KD, Neugut AI. Epidemiology of gastric cancer. World J Gastroenterol 2006; 12: 354-62.
  5. Harrison LE, Karpeh MS, Brennan MF. Total gastrectomy is not necessary for proximal gastric cancer. Surgery 1998; 123: 127-30. CrossRef
  6. Humphrey CS, Johnston D, Walker BE, Pulvertaft CN, Goligher JC. Incidence of dumping after truncal and selective vagotomy with pyloroplasty and highly selective vagotomy without drainage procedure. Br Med J 1972; 3: 785-88. CrossRef
  7. Eckhauser FE, Colletti LM, Hasler WL. Postgastrectomy syndromes and motility disorders. In: Bell, R H, Rikkers, L F, Mulholland, M W (eds). Digestive Tract Surgery: a Text and Atlas. Philadelphia: Lippincott-Raven Publishers, 1996, pp201-222.
  8. Mason RJ, DeMeester TR. Importance of duodenogastric reflux in the surgical outpatient practice. Hepato-Gastroenterology 1999; 46: 48-3.
  9. Bonavina L, Incarbone R, Segalin A, Chella B, Peracchia A. Duodeno-gastro-esophageal reflux after gastric surgery: surgical therapy and outcome in 42 consecutive patients. Hepato-Gastroenterology 1999; 46: 92-6.
  10. Adachi Y, Katsuta T, Aramaki M, Morimoto A, Shiraishi N, Kitano S. Proximal gastrectomy and gastric tube reconstruction for early cancer of the gastric cardia. Dig Surg 1999; 16: 468-70. CrossRef
  11. Adachi Y, Inoue T, Hagino Y, Shiraishi N, Shimoda K, Kitano S. Surgical results of proximal gastrectomy for early-stage gastric cancer: jejunal interposition and gastric tube reconstruction. Gastric Cancer 1999; 2: 40-5. CrossRef
  12. Li LH, Ma L, Xiao YL, Mao WZ, Li Y.Reconstructive approaches of alimentary canal for subtotal gastrectomy. Zhonghua Yi Xue Za Zhi 2011; 91: 961-64.(in Chinese with English abstract)
  13. Japanese Gastric Cancer Association: Japanese classification of gastric carcinoma: 3rd English edition. Gastric Cancer 2011; 14: 101-12. CrossRef
  14. Armstrong D, Bennett JR, Blum AL, Dent J, De Dombal FT, Galmiche JP, Lundell L, Margulies M, Richter JE, Spechler SJ, Tytgat GN, Wallin L. The endoscopic assessment of esophagitis: a progress report on observer agreement. Gastroenterology 1996; 111: 85-2. CrossRef
  15. Lundell LR, Dent J, Bennett JR, Blum AL, Armstrong D, Galmiche JP, Johnson F, Hongo M, Richter JE, Spechler SJ, Tytgat GN, Wallin L. Endoscopic assessment of oesophagitis: clinical and functional correlates and further validation of the Los Angeles classification. Gut 1999; 45: 172-80. CrossRef
  16. Hidenobu Watanabe, Jeremy R. Jass, L. H. Sobin. Histological typing of oesophageal and gastric tumours. New York: Springer-Verlag, 1990. CrossRef
  17. Vather R, Trivedi S, Bissett I. Defining postoperative ileus: results of a systematic review and global survey. Journal of gastrointestinal surgery 2013; 17: 962-72. CrossRef
  18. Adachi S, Kawamoto T, Otsuka M, Todoroki T, Fukao K. Enteral vitamin B12 supplements reverse postgastrectomy B12 deficiency. Ann surg 2000; 232: 199-01. CrossRef
  19. Nakane Y, Okumura S, Akehira K, Okamura S, Boku T, Okusa T, Tanaka K, Hioki K. Jejunal pouch reconstruction after total gastrectomy for cancer. A randomized controlled trial. Ann Surg 1995; 222: 27-5. CrossRef
  20. Fein M, Fuchs KH, Thalheimer A, Freys SM, Heimbucher J, Thiede A. Long-term benefits of Roux-en-Y pouch reconstruction after total gastrectomy: a randomized trial. Ann Surg 2008; 247: 759-65. CrossRef
  21. Gertler R, Rosenberg R, Feith M, Schuster T, Friess H. Pouch vs. no pouch following total gastrectomy: meta-analysis and systematic review. Am J Gastroenterol 2009; 104: 2838-851. CrossRef
  22. Kalmar K, Nemeth J, Kelemen D, Agoston E, Horvath OP. Postprandial gastrointestinal hormone production is different, depending on the type of reconstruction following total gastrectomy. Ann Surg 2006; 243: 465-71. CrossRef
  23. Kobayashi T, Sugimura H, Kimura T. Total gastrectomy is not always necessary for advanced gastric cancer of the cardia. Dig Surg 2002; 19: 15-1. CrossRef
  24. Maruyama K, Gunven P, Okabayashi K, Sasako M, Kinoshita T. Lymph node metastases of gastric cancer. General pattern in 1931 patients. Ann Surg 1989; 210: 596-02. CrossRef
  25. Kitamura K, Yamaguchi T, Nishida S, Yamamoto K, Ichikawa D, Okamoto K, Taniguchi H, Hagiwara A, Sawai K, Takahashi T. The operative indications for proximal gastrectomy in patients with gastric cancer in the upper third of the stomach. Surg Today 1997; 27: 993-98. CrossRef
  26. Kaibara N, Nishimura O, Nishidoi H, Kimura O, Koga S. Proximal gastrectomy as the surgical procedure of choice for upper gastric carcinoma. J Surg Oncol 1987; 36: 110-12. CrossRef
  27. Ooki A, Yamashita K, Kikuchi S, Sakuramoto S, Katada N, Hutawatari N, Watanabe M. Clinical significance of total gastrectomy for proximal gastric cancer. Anticancer Res 2008; 28: 2875-883.
  28. Yoo CH, Sohn BH, Han WK, Pae WK. Long-term results of proximal and total gastrectomy for adenocarcinoma of the upper third of the stomach. Cancer Res Treat 2004; 36: 50-5. CrossRef
  29. An JY, Youn HG, Choi MG, Noh JH, Sohn TS, Kim S. The difficult choice between total and proximal gastrectomy in proximal early gastric cancer. Am J Surg 2008; 196: 587-91. CrossRef
  30. Hsu CP, Chen CY, Hsieh YH, Hsia JY, Shai SE, Kao CH. Esophageal reflux after total or proximal gastrectomy in patients with adenocarcinoma of the gastric cardia. Am J Gastroenterol 1997; 92: 1347-350.
  31. Samosir DR, Lesmana L, Abdullah M. Delayed gastric emptying in an Indonesian population with reflux esophagitis. Acta Med Indones 2011; 43: 229-32.
  32. Nakane Y, Michiura T, Inoue K, Sato M, Nakai K, Ioka M, Yamamichi K. Role of pyloroplasty after proximal gastrectomy for cancer. Hepatogastroenterology 2004; 51: 1867-871.
  33. Velanovich V. Esophagogastrectomy without pyloroplasty. Dis Esophagus 2003; 16: 243-45. CrossRef
  34. Katai H, Sano T, Fukagawa T, Shinohara H, Sasako M. Prospective study of proximal gastrectomy for early gastric cancer in the upper third of the stomach. Br J Surg 2003; 90: 850-53. CrossRef
  35. Kameyama J, Ishida H, Yasaku Y, Suzuki A, Kuzu H, Tsukamoto M. Proximal gastrectomy reconstructed by interposition of a jejunal pouch. Surgical technique. Eur J Surg 1993; 159: 491-93.
  36. Kameyama J, Suzuki A, Takeshita A, Sakai Y, Kuzu H, Kudoh S. A new reconstructive procedure, interposition of a jejunal pouch after proximal gastrectomy. Nihon Geka Gakkai Zasshi 1997; 98: 555-59.
  37. Takagawa R, Kunisaki C, Kimura J, Makino H, Kosaka T, Ono HA, Akiyama H, Endo I. A pilot study comparing jejunal pouch and jejunal interposition reconstruction after proximal gastrectomy. Dig Surg 2010; 27: 502-08. CrossRef
  38. Namikawa T, Oki T, Kitagawa H, Okabayashi T, Kobayashi M, Hanazaki K. Impact of jejunal pouch interposition reconstruction after proximal gastrectomy for early gastric cancer on quality of life: short- and long-term consequences. Am J Surg 2012; 204: 203-09. CrossRef
  39. Seike K, Kinoshita T, Sugito M. Comparative studies between esophagogastrostomy and jejunal Interposition after proximal gastrectomy for cardiac cancer of the stomach [in Japanese]. Jpn J Gastroenterol Surg 1998; 31: 900-07. CrossRef
  40. Shiraishi N, Hirose R, Morimoto A, Kawano K, Adachi Y, Kitano S. Gastric tube reconstruction prevented esophageal reflux after proximal gastrectomy. Gastric Cancer 1998; 1: 78-9. CrossRef
  41. Chen XF, Zhang B, Chen ZX, Hu JK, Dai B, Wang F, Yang HX, Chen JP. Gastric tube reconstruction reduces postoperative gastroesophageal reflux in adenocarcinoma of esophagogastric junction. Dig Dis Sci 2012; 57: 738-45. CrossRef
  42. Ardeman S, Chanarin I. Gastric intrinsic factor secretion after partial gastrectomy. Gut 1966; 7: 217-19. CrossRef
  43. Chanarin I. Gastric intrinsic factor. Gut 1968; 9: 373-75. CrossRef
  
• 作者单位：Shicai Chen (1)
  Jianchang Li (1)
  Haiying Liu (1)
  Jun Zeng (2)
  Guohua Yang (1)
  Jin Wang (1)
  Weiqun Lu (1)
  Nanrong Yu (1)
  Zhiliang Huang (1)
  Houwei Xu (1)
  Xiang Zeng (1)
  
  1. Department of Gastrointestinal Tumor Surgery, Affiliated Tumor Hospital of Guangzhou Medical University, #78 Hengzhigang Road, Guangzhou, 510095, Guangdong Province, China
  2. Department of endocrinology and metabolism, Guangzhou Women and Children medical center, Guangzhou, 510000, China
  
• ISSN：1873-4626

文摘

Objective The choice of surgical strategy for patients with proximal gastric cancer remains controversial. In this study, we recommend that a new reconstruction procedure be performed following proximal gastrectomy. Methods We conducted a retrospective study involving 71 patients who underwent gastrectomy for proximal gastric cancer. Clinicopathological features, postoperative complications, nutritional status, and overall survival (OS) rate were compared among three different reconstruction approaches. Results There were 34 cases of proximal gastrectomy followed by esophagogastrostomy reconstruction (EG), 16 cases of total gastrectomy and Roux-en Y reconstruction (RY) and 21 cases of proximal gastrectomy followed by esophagogastrostomy plus gastrojejunostomy reconstruction (EGJ). Though the clinicopathological features, the nutritional status and OS rate were similar among the three groups of patients, the incidence of reflux esophagitis was significantly higher in the EG group (35.3?%) than the RY (6.2?%) and EGJ (9.6?%) groups(P-lt;-.05). Few EGJ patients suffered from either reflux esophagitis or anastomotic stenosis. Conclusions The EGJ reconstruction method helps to resolve the syndrome of reflux esophagitis. Our data indicates that it is a simple, safe, and effective reconstruction procedure for PGC.