2005 Volume 38 Issue 6 Pages 585-591
Purpose: We have been performing jejunal pouch double-tract reconstruction (PDT) to improve the QOL of patients after total gastrectomy, and this study examined the safety and efficacy of the PDT method. Method: The clinical results of the PDT method (72 patients) performed between May 2001 and March 2004 were compared with the results of the Roux-en Y method (R-Y)(84 patients) that was being performed con-ventionally. Results: PDT operation time was longer than R-Y operation time, but the difference was not sig-nificant. The overall frequency of postoperative complications of PDT and R-Y was almost the same. Compli-cations regarding reconstruction occurred in 9.7% of the PDT cases, and 13.1% of the R-Y cases (not signifi-cant). Body weight one year after operation as a percentage of preoperative weight was 97.5% in the PDT group (40 patients) and 88.9% in the R-Y group (32 patients), and the increase in weight was better in the PDT group (p<0.05). There were no significant differences in the responses to a questionnaire about meals or in to-tal cholesterol values, serum albumin values, or lymphocyte counts one year after the operation. Conclusions: PDT does not increase complications compared with R-Y; recovery of postoperative body weight is bet-ter; and PDT is concluded to be an effective procedure.
