Long-term results after surgery for gastric cancer with or without jejunal reservoir: results of surgery for gastric cancer in Kanta-Häme central hospital in two consecutive periods without or with jejunal pouch reconstruction in 1985-1998

Gastric cancer still has a disease-specific 5-yr survival less than 30% and an overall survival of about 15%. The quality of life of patients who undergo gastrectomy is poor owing both to the severity of the disease itself and to the mutilation of the upper gastrointestinal channel after the reconst...

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Bibliographic Details
Published in:International journal of gastrointestinal cancer 2005, Vol.36 (3), p.147-154
Main Authors: Paimela, Hannu, Ketola, Saara, Iivonen, Mauri, Tomminen, Timo, Könönen, Esa, Oksala, Niku, Mustonen, Harri
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Anastomosis, Roux-en-Y
Cardia
Female
Gastrectomy
Gastritis - pathology
Gastritis - surgery
Hospitals - statistics & numerical data
Humans
Jejunum - surgery
Male
Middle Aged
Neoplasm Recurrence, Local - pathology
Reconstructive Surgical Procedures
Retrospective Studies
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Stomach Ulcer - pathology
Stomach Ulcer - surgery
Time Factors
Treatment Outcome
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Summary:Gastric cancer still has a disease-specific 5-yr survival less than 30% and an overall survival of about 15%. The quality of life of patients who undergo gastrectomy is poor owing both to the severity of the disease itself and to the mutilation of the upper gastrointestinal channel after the reconstruction. Therefore, the combination of a jejunal pouch with gastrectomy has been claimed to improve the life quality and nutritional status of these patients. To assess the clinical results after surgery for gastric cancer in two consecutive periods with or without jejunal-pouch reconstruction. 271 consecutive patients referred for surgery for gastric cancer in 1985-1991 (116 patients) and in 1992-1998 (155 patients) in Kanta-Häme central hospital were retrospectively analyzed regarding their disease, mode of surgery, and the immediate and long-term results. In the former observation period gastrectomy was performed with Roux-en-Y esophagojejunostomy without a reservoir, and in the latter period this procedure was combined with a jejunal reservoir. The data were collected from patient journals and from the death certificate obtained from the National Centre of Statistics in Finland. During the study period the incidence of cancer in the cardia increased among the surgical patients from 13.1 to 26.7% (p
ISSN:1537-3649
1559-0739
1537-3649
DOI:10.1385/IJGC:36:3:147