위전절제시 공장간치술의 임상적 의의 = Jejunal Interposition after Total Gastrectomy

다국어 초록 (Multilingual Abstract)

Total gastrectomized patients frequently suffer from agastric syndromes such as lack of appetite, reduced food intake, malnutrition, weight loss, abdominal pain and other various complications. It is a hot topic to restore the intestinal continuity after total gastrectomy for gastric malignancy and even benign gastric disease. There are many methods for reconstruction and they have been compared since total gastrectomy was developed.
I have performed 22 jejunal interposition operations between esophagus and duodenum after total gastrectomy for gastric cancer. The digestive continuity was renewed by an interposition of isoperistaltic jejunal loop, retrocolic fashion. Comparing this jejunal interposition method with Roux-en-Y procedure, I confirmed this reconstruction method is relatively simple and very effective technique.
The author can draw a conclusion that interposition of the jejunal loop is one of the optimum reconstruction procedures after total gastrectomy in terms of the quality of life of the patients.