Jejunogastroplasty during re-reconstructive surgeries on the stomach

Abstract

Introduction. Severe digestive disorders after primary gastric surgery in 25 % of patients lead to permanent disability and 100 % require medical rehabilitation. Progressive forms of postgastrectomy syndromes (PS) are an indication for reconstructive intervention.

Aim. To improve the functional results of repeated gastric surgeries by using the jejunogastroplasty.

Materials and methods of research. In the period from 2012–23, 56 repeated operations on the stomach using a jejunogasroplasty were performed at the department of A.V. Vishnevsky National Research Scientific Surgical Center (NRSSC). These patients had previously undergone resection and gastric drainage operations. Indications for the next intervention in 45 (80,4 %) patients were PS, and in 11 (19,6 %) – gastric stump cancer and recurrence of gastric cancer (GС).

Results. In the postoperative period, surgical complications developed in 4 (7,1 %) patients. The hospital mortality rate was 1.8%. In the long-term period, a decrease in the frequency and severity of the disease was revealed, as well as improvements in the quality of life (QOL) of patients.

Conclusion. Reconstructive operations with plastic replacement of the whole stomach or part of it with a segment of the jejunum and inclusion in the passage of the duodenum, most of all correspond to normal physiology, creating conditions for the portioned intake of food into the small intestine, and bringing the activity of the digestive system closer to normal.