International Medical Journal, Vol. 20., Iss. 2, 2014, P. 38−45.
ILEOCECAL SEGMENT APPLICATION IN UPPER GASTROINTESTINAL TRACT RECONSTRUCTION IN PATIENTS WITH COMPLICATED LOCALLY ADVANCED GASTRIC CANCER
Institute of General and Urgent Surgery of NAMS of Ukraine, Kharkiv
Kharkiv National Medical University
The problem of treatment for complicated cancer of the stomach is urgent as the majority of the patients (80%) are admitted with stage III or IV disease. The leading radical method of treatment is gastrectomy, its long−term results largely depend on the method of the gastrointestinal tract reconstruction. The authors analyze the experience of treatment of the patients with locally advanced gastric cancer in whom combined gastrectomy was followed by gastroplasty with ileocecal segment of the intestine. The results of this method were compared with those of combined gastrectomy with end loop esophagojejunoanastomosis. Gastroplasty with ileocecal segment was not accompanied by marked aggravation of the injury, time of the operation, post−operative complications. In case of invasion to the transverse colon it can be recommended as a method of choice. Gastroplasty with ileocecal segment reconstructs the upper portions of the gastrointestinal tract after combined gastrectomy with forming a reservoir containing a natural valve mechanism and allows participation in the process of digestion of the duodenum. Gastroplasty with ileocecal segment of the intestine promotes reduction of the number of long−term post−gastrectomy syndromes and improves the quality of life of the patients.
Key words: locally advanced gastric cancer, gastroplasty with ileocecal segment.