Prophylactic Laparoscopic Total Gastrectomy with Jejunal Pouch Reconstruction in Patients Carrying a CDH1 Germline Mutation
نویسندگان
چکیده
منابع مشابه
Prophylactic total gastrectomy for individuals with germline CDH1 mutation.
BACKGROUND Germline mutation of the CDH1 gene, which encodes for the E-cadherin adhesion protein, is rare but confers an estimated lifetime risk of hereditary diffuse gastric cancer of 87%. Fewer than 100 prophylactic total gastrectomies have been reported for this condition. METHODS Patients with germline CDH1 mutation who underwent multidisciplinary counseling followed by prophylactic total...
متن کاملSimple versus double jejunal pouch for reconstruction after total gastrectomy.
BACKGROUND Even though many types of reconstruction after total gastrectomy have been proposed to reduce postgastrectomy syndromes, choosing a method that would further improve the quality of life and nutrition of the gastrectomized patient is controversial. Hunt-Lawrence single pouch reconstruction seems to obtain better results compared with the more common Roux-en-Y technique, but both of th...
متن کاملConstruction of a Jejunal Pouch After Total Gastrectomy
Total gastrectomy for cancer results in many digestive troubles leading to an impairement of the quality of life. Different types of reconstruction have been proposed to improve the postoperative digestive functions. According to several prospective randomized trials and a recent meta-analysis, the Roux-en-Y jejunal pouch construction appears to be the best technique for reconstruction concerni...
متن کاملTotal laparoscopic-assisted radical gastrectomy (D2+) with jejunal Roux-en-Y reconstruction.
Total laparoscopic-assisted radical gastrectomy and the jejunal Roux-en-Y anastomosis were performed to treat cancer of the upper gastric body and fundic region. In the case of open anastomosis during total laparoscopic-assisted radical gastrectomy, an incision of 6-8 cm would be required due to the need for placing the stapler anvil. If using the Roux-en-Y procedure, however, the incision coul...
متن کاملResults of reconstruction with jejunal pouch after gastrectomy: correlation with gastrointestinal motor activity.
BACKGROUND/AIMS To investigate if restoration of esophago-intestinal or esophago-gastric continuity with a jejunal pouch after total or proximal gastrectomy has clinical benefits. METHODS We reviewed all relevant reports published after 1990 that dealt with the clinical results of reconstruction with a jejunal pouch after total and proximal gastrectomies and correlated those findings with res...
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ژورنال
عنوان ژورنال: Journal of Gastrointestinal Surgery
سال: 2015
ISSN: 1091-255X,1873-4626
DOI: 10.1007/s11605-015-2963-4