Erfahrungen mit der totalen Gastrektomie

Gütgemann, A.; Schrelber, H. W.; Bernhard, A

doi:10.1007/bf01440407

Cited by 27 publications

(8 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This demand contradicted the view held by many surgeons that "gastrectomie totale de nécessité" should only be performed in case of total involvement of the stomach. They had many followers but also met with opponents [22]. Lefèvre and Lortat-Jacob argued that their demand was corroborated by the respective literature that certified lower rates of fatalities after gastrectomy [23,24].…”

Section: "Gastrectomy Totale De Principe"mentioning

confidence: 97%

The Historical Perspective of Gastric Cancer

Rogy

Bünger

2015

Gastric Cancer

View full text Add to dashboard Cite

Section: "Gastrectomy Totale De Principe"mentioning

confidence: 97%

The Historical Perspective of Gastric Cancer

Rogy

Bünger

2015

Gastric Cancer

View full text Add to dashboard Cite

“…Hays interposed a triple jejunal pouch between the esophagus and duodenum in 1953 [37]. Gütgemann recommended the interposition of a very long jejunum loop of at least 30 cm in length to increase the reservoir function of the inserted jejunal pouch [38]. Poth in 1966 favored the interposition of an antiperistaltic jejunal pouch in various combinations [39].…”

Section: Esophagojejunostomy With the Interposition Of The Jejunal Sementioning

confidence: 99%

Reconstructive Procedures after Total Gastrectomy for Gastric Cancer

Ignjatović¹,

Randjelović²,

Stojanović³

et al. 2019

Gastric Cancer - An Update

View full text Add to dashboard Cite

Till this day, there are more than 60 described surgical procedures of the intestinal reconstructions after a total gastrectomy. In 1897, Schlatter reconstructed the digestive tract by creating a termino-lateral esophagojejunostomies that was the first successful total gastrectomy. Many of the total gastrectomy pioneers did the reconstruction by esophagoduodenostomy or by forming a loop esophagojejunostomy. The main reconstruction modalities after a total gastrectomy are a restitution of the intestinal continuity, without a preservation of the duodenal food passage (esophagojejunostomy with a Roux-en-Y configuration) and a restitution of the intestinal continuity with a preservation of the duodenal passage (esophagojejunostomy with Roux-en-Y configuration and forming of the lateral-terminal jejunoduodenal anastomosis double tract and jejunal interposition by Longmire). The surgeries in these categories can be combined with forming of an enteral pouch or a stomach reservoir which would simulate a reservoir of a normal intact stomach. The ideal reconstruction procedure after total gastrectomy should replace all lost functions of the stomach. Preservation of duodenal transit with replacement of the jejunal segment, the so-called physiological route, is now believed to be preferential for postoperative nutritional condition, prevents persistent postgastrectomy syndrome, and improves the quality of life. Reconstructive procedures which allow duodenal passage should be regarded as a key to physiological reconstruction.

show abstract

“…durch Kuntzen (1957), Giitgemann et al (1963), Androssow (1965) und Maki (1969) best~tigt. durch Kuntzen (1957), Giitgemann et al (1963), Androssow (1965) und Maki (1969) best~tigt.…”

Section: Diskussionunclassified

Fr�hkomplikationen und Fr�hletalit�t verschiedener operativer Methoden bei der Gastrektomie

Kummer

Buttkereit

Koslowski

1977

Langenbecks Arch Chiv

View full text Add to dashboard Cite

From 1959-1976, 183 gastrectomies were performed in the Chirurgische Klinik of the University of Tübingen, for gastric carcinoma. The average mortality for the operations was 19.1%, postoperative complications occurred in 41% of the cases. The most frequent cause of death was failure of the oesophageal anastomoses. The two methods most commonly used, Longmire-Gütgemann's interposition of small intestine and oesophagojejunostomy with Braun's anastomosis, differ considerably in the complication rate and mortality. The interposition of small intestine, with almost indentical preoperative and intraoperative risk factors, an operative mortality of 4.4% and distinctly less danger of anastomotic failure was shown to be superior to the technically simple oesophagojejunostomy. The formation of an "artificial stomach" in gastrectomy is therefore to be preferred to all other surgical methods of reconstruction of the intestinal passage, not only because of the better late results but also because of the better early results.

show abstract

Erfahrungen mit der totalen Gastrektomie

Cited by 27 publications

References 35 publications

The Historical Perspective of Gastric Cancer

The Historical Perspective of Gastric Cancer

Reconstructive Procedures after Total Gastrectomy for Gastric Cancer

Fr�hkomplikationen und Fr�hletalit�t verschiedener operativer Methoden bei der Gastrektomie

Contact Info

Product

Resources

About