Operative Technique on Nearly Total Gastrectomy Reconstructed by Interposition of a Jejunal J pouch with Preservation of Vagal Nerve, Lower Esophageal Sphincter, and Pyloric Sphincter for Early Gastric Cancer

2001 ◽  
Vol 25 (12) ◽  
pp. 1524-1531 ◽  
Author(s):  
Ryouichi Tomita ◽  
Shigeru Fujisaki ◽  
Katsuhisa Tanjoh ◽  
Masahiro Fukuzawa
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Total Gastrectomy ◽  
Lower Esophageal Sphincter ◽  
Operative Technique ◽  
Vagal Nerve ◽  
Pyloric Sphincter ◽  
J Pouch ◽  
Esophageal Sphincter

Preservation of the lower esophageal sphincter during total gastrectomy for gastric cancer to prevent postoperative reflux esophagitis

Surgery Today ◽  
1995 ◽  
Vol 25 (6) ◽  
pp. 507-514 ◽  
Author(s):  
Toshihiro Hirai ◽  
Shuji Saeki ◽  
Kei Matsuki ◽  
Yoshinori Yamashita ◽  
Takashi Iwata ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Total Gastrectomy ◽  
Lower Esophageal Sphincter ◽  
Reflux Esophagitis ◽  
Postoperative Reflux ◽  
Esophageal Sphincter

scholarly journals Significance of the Lower Esophageal Sphincter Preservation in Preventing Alkaline Reflux Esophagitis in Patients After Total Gastrectomy Reconstructed by Roux-en-Y for Gastric Cancer

2014 ◽  
Vol 99 (2) ◽  
pp. 174-181 ◽  
Author(s):  
Ryouichi Tomita ◽  
Kenichi Sakurai ◽  
Shigeru Fujisaki
Keyword(s):  
Gastric Cancer ◽  
Total Gastrectomy ◽  
Lower Esophageal Sphincter ◽  
Reflux Esophagitis ◽  
Ph Monitoring ◽  
Sphincter Preservation ◽  
Esophageal Ph ◽  
Group A ◽  
Esophageal Sphincter ◽  
Alkaline Reflux

Abstract To clarify the significance of the lower esophageal sphincter (LES) for prevention of alkaline reflux esophagitis (ARE) after total gastrectomy reconstructed by Roux-en-Y (TGRY) for gastric cancer, we investigated LES function and lower esophageal pH in TGRY patients with or without LES preservation. A total of 51 patients 5 years after TGRY were divided into groups A (26 patients without preserved LES) and B (25 patients with preserved LES) and compared with 22 control participants (group C). Manometric study and ambulatory 24-hour esophageal pH monitoring were performed on all patients. Symptomatic and endoscopic AREs in group A were significantly higher than those in group B (P < 0.05). The length of LES and maximum LES pressure in group A were significantly shorter and lower, respectively, than in groups B and C (P < 0.01). The length of LES and maximum LES pressure in patients with symptomatic ARE were significantly shorter and lower, respectively, than in patients without symptomatic ARE (P < 0.01). Percentages of time with pH >7 and pH >8 within 24 hours in group A were significantly higher than those in groups B and C (P < 0.01). Preservation of the LES may be necessary to prevent ARE after TGRY.

scholarly journals Clinical outcome of lower esophageal sphincter- and vagus-nerve-preserving partial cardiectomy for early gastric cancer of the subcardia

2014 ◽  
Vol 18 (3) ◽  
pp. 669-674 ◽  
Author(s):  
Hideo Matsumoto ◽  
Haruaki Murakami ◽  
Hisako Kubota ◽  
Masaharu Higashida ◽  
Masafumi Nakamura ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Clinical Outcome ◽  
Vagus Nerve ◽  
Lower Esophageal Sphincter ◽  
Esophageal Sphincter

Spontaneous elimination of serum HCV-RNA after total gastrectomy for early gastric cancer in a patient with chronic hepatitis C

2001 ◽  
Vol 96 (3) ◽  
pp. 922-923 ◽  
Author(s):  
Masahide Yoshikawa ◽  
Yukari Morimoto ◽  
Akira Shiroi ◽  
Hitoshi Yoshiji ◽  
Shigeki Kuriyama ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Chronic Hepatitis ◽  
Hepatitis C ◽  
Early Gastric Cancer ◽  
Total Gastrectomy ◽  
Chronic Hepatitis C ◽  
Hcv Rna
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