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Untersuchungen zur Komplikationsrate nach Gastrektomie und Pouchrekonstruktion mit Longmire-Interposition

2000; Thieme Medical Publishers (Germany); Volume: 125; Issue: Heft 11 Linguagem: Inglês

10.1055/s-2000-10061

1438-9592

Beatrix Hoksch, J. M. Müller,

Metastasis and carcinoma case studies

Background/Aims: To determine whether a Longmire-Interposition with or without a pouch used for reconstruction after gastrectomy influences the postoperative complication rate.Methodology: 49 patients who underwent gastrectomy with Longmire-Interposition with (n = 33) or without (n = 16) an additional pouch and 46 patients with a Roux-en-Y-reconstruction were analysed retrospectively. Complication rate and mortality were studied.Results: There were no significant differences between the reconstruction groups for postoperative complications (Roux-en-Y vs. Longmire-Interposition with and without pouch: 30.4 % vs. 28.6 % for the morbidity; 4.3 % vs. 4.1 % for the mortality).Conclusion: These findings suggest that a Longmire-Interposition with or without a pouch for reconstruction after total gastrectomy is not connected with a higher morbidity or mortality in comparison to a Roux-en-Y-reconstruction.