[Postgastrectomy symptoms following total gastrectomy with or without preservation of the duodenal passage].

INTRODUCTION

Total gastrectomy leads to decreased quality of life, which is characterized by different symptoms of the postgastrectomy syndrome. Aim of this study was to investigate the correlation of different alimentary symptoms and habits in correlation with the reconstruction type after total gastrectomy.

PATIENTS AND

METHODS

Between 2005-2009 34 patients after total gastrectomy for gastric cancer were evaluated with questionnaires. Twenty two had a standard Roux-en-Y reconstruction, while 12 Longmire type jejunal interposition. Early dumping syndrome was investigated with the Sigstad score.

RESULTS

Most of the investigated parameters were similar in Roux-en-Y and Jejunal Interposition patients. Early dumping syndrome however occurred significantly less frequantly after jejunal interposition.

CONCLUSION

Preservation of the duodenal passage after total gastrectomy reduces the prevalence of early dumping.