A new technique for recostruction after proximal gastrectomy for EGJ adenocarcinoma (Siewert II with < 2 cm esophageal invasion and Siewert III) and upper-third early gastric cancer is presented. Since January 2000, 50 patients have been treated with this new technique. Postoperative morbidity and mortality were respectively, 25% and 2%, with a leak rate of 8%. At 6 and 12 months, reflux rates were 30% and 33% and stricture rates 20% and 6.7%, respectively. The data show that this technique is feasible, with good results in terms of morbidity and mortality as well as functional outcome.
Proximal Gastrectomy: Technical Notes
CORDIANO, Claudio;MANGIANTE, Gerardo;GIACOPUZZI, Simone;DE MANZONI, Giovanni
2012-01-01
Abstract
A new technique for recostruction after proximal gastrectomy for EGJ adenocarcinoma (Siewert II with < 2 cm esophageal invasion and Siewert III) and upper-third early gastric cancer is presented. Since January 2000, 50 patients have been treated with this new technique. Postoperative morbidity and mortality were respectively, 25% and 2%, with a leak rate of 8%. At 6 and 12 months, reflux rates were 30% and 33% and stricture rates 20% and 6.7%, respectively. The data show that this technique is feasible, with good results in terms of morbidity and mortality as well as functional outcome.
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