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A long-term follow-up result of pouch plasty for severe dysfunction of jejunal pouch reconstruction after total gastrectomy: a case report.

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A long-term follow-up result of pouch plasty for severe dysfunction of jejunal pouch reconstruction after total gastrectomy: a case report.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Tamura, Takafumi Inagawa, Satoshi Terashima, Hideo Akashi, Yoshimasa Hisakura, Katsuji Enomoto, Tsuyoshi Ohkohchi, Nobuhiro
Description	Country affiliation: Japan Author Affiliation: Tamura T ( Division of Gastroenterological and Hepatobiliary Surgery, and Organ Transplantation, Department of Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.)
Abstract	A 78-year-old woman with malignant lymphoma of the stomach underwent total gastrectomy with a jejunal-pouch (J-pouch) reconstruction in 1994. Twelve years after surgery the patient began to suffer epigastric distress and reflux symptoms. Eventually, she was unable to take anything by mouth. A series of diagnostic images seemed to indicate that the main cause of the dysfunction was flaccidity of the J-pouch and deformity of the outflow route induced by chronic excessive dilatation of the pouch wall. Because all conservative managements only led to temporary improvement and ended in failure, she hoped to receive the operation. We designed 'pouch plasty' capable of ameliorating the pouch dysfunction. The aim of pouch plasty was to improve uneven tension of the pouch wall and repair deformity of the outflow route of the food. After the operation, the J-pouch resumed adequate drainage and had good reservoir function. More than 7 years later, the patient had no further complications.
File Format	HTM / HTML
ISSN	00208868
e-ISSN	25202456
DOI	10.9738/INTSURG-D-14-00181.1
Journal	International Surgery
Issue Number	5
Volume Number	100
Language	English
Publisher	International College of Surgeons
Publisher Date	2015-05-01
Publisher Place	Italy
Access Restriction	Open
Subject Keyword	Discipline General Surgery Colonic Pouches Pathology Gastrectomy Jejunum Surgery Lymphoma Reconstructive Surgical Procedures Stomach Neoplasms
Content Type	Text
Resource Type	Case study Article
Subject	Surgery

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