Safety procedures for total gastrectomy
Keywords:
gastrectomy, jejunum, surgeryAbstract
The authors report a new procedúre to restore the digestive tract continuity after total gastrectomy. It consists of using an asymmetric jejunal loop (HivetWarren technique, modified). The loop must be previously disfunctionalyzed by a side-to-side anastomosis at its foot and section-suture of its afferent limb. The lower stump of this limb functions as a diverticular jejunostomy. It is used first as a decompressing device and later for feeding the patient. The upper stump is used to protect the esophago-jejunal anastomosis, by apposition of its serosa.
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