UA87602U - Technique for reconstructive jejunogastroplasty following gastrectomy according to roux in acutely bleeding gastric cancer - Google Patents

Abstract

The technique for the reconstructive jejunogastroplasty following gastrectomy according to Roux in acutely bleeding gastric cancer provides for cutting the afferent loop of the jejunum. The efferent loop of jejunum is cut proximal to Roux enteroanastomosis at the distance of with the linear stapler "Proximate" . The jejunum is cut behind Treitz ligament proximal to Roux enteroanastomosis at the distance of with linear stapler "Proximate" . The efferent loop is folded in U-shape as the double loop distal to esophagojejunoanastomosis and sutured along 10- with the linear stapler "Proximate" . The efferent loop of jejunum is then cut distal to Roux enteroanastomosis. The proximal end of the jejunum is mobilized on the vascular mesenteric arcade, transferred proximally retrocolic and anastomosed with the sutured U-shaped efferent loop of jejunum (along 10- with the linear stapler "Proximate" ) fashioning the triple loop and the artificial intestinal reservoir (jejunogastroplasty). The continuity of jejunum is restored with the second end-to-side Roux enteroanastomosis.