{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T12:29:51Z","timestamp":1784291391051,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[1995,7,1]],"date-time":"1995-07-01T00:00:00Z","timestamp":804556800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1995,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To evaluate quality of life and functional results following surgery for gastric cancer we studied 104 patients with no evidence of disease at a minimum of 12\u00a0months postoperatively. Patients were treated with total gastrectomy and jejunal pouch reconstruction according to Hunt\u2010Lawrence\u2010Rodino (<jats:italic>n<\/jats:italic>=59) or simple esophagojejunostomy (<jats:italic>n<\/jats:italic>=24) and distal subtotal gastrectomy (<jats:italic>n<\/jats:italic>=21). No significant differences were found between total gastrectomy with pouch reconstruction and distal gastric resection with respect to dumping or heartburn, whereas patients with total gastrectomy and restoration with esophagojejunostomy suffered from both. The latter group of patients also had reduced nutritional status. Although there is a lack of a proper definition of quality of life, all instruments applied to its measurement indicated improved results for patients with pouch reconstruction and those after distal gastrectomy, but we could not state any significant differences. We conclude that in terms of postoperative functional results as well as quality of life distal gastric resection has no advantage over total gastrectomy with pouch reconstruction; hence a reduction of surgical radicality in an attempt to improve postoperative results is not justified. Pouch reconstruction should be considered the treatment of choice for reconstruction after total gastrectomy.<\/jats:p>","DOI":"10.1007\/bf00294722","type":"journal-article","created":{"date-parts":[[2004,10,6]],"date-time":"2004-10-06T08:54:55Z","timestamp":1097052895000},"page":"558-564","source":"Crossref","is-referenced-by-count":67,"title":["Reconstruction after gastrectomy and quality of life"],"prefix":"10.1002","volume":"19","author":[{"given":"Klaus","family":"Buhl","sequence":"first","affiliation":[{"name":"Department of Surgery University of Heidelberg Im Neuenheimer Feld 110 D\u201069120 Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Lehnert","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Heidelberg Im Neuenheimer Feld 110 D\u201069120 Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Schlag","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Heidelberg Im Neuenheimer Feld 110 D\u201069120 Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Herfarth","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Heidelberg Im Neuenheimer Feld 110 D\u201069120 Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1995,7]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01655804"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198406073102322"},{"key":"e_1_2_1_4_1","first-page":"404","article-title":"Quality of life and functional results following different types of gastric resection for gastric carcinoma","volume":"16","author":"Buhl K.","year":"1990","journal-title":"Eur. J. Surg. Oncol."},{"key":"e_1_2_1_5_1","first-page":"404","article-title":"Lebensqualit\u00e4t nach Magenoperationen","volume":"60","author":"Vestweber K.H.","year":"1989","journal-title":"Chirurg"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-67368-9_45"},{"key":"e_1_2_1_7_1","first-page":"20","article-title":"Konsensus\u2010Konferenz: Erfassung von Lebensqualit\u00e4t in der Onkologie\u2014Konzepte, Methodik und Anwendungen","volume":"20","author":"Schwarz R.","year":"1991","journal-title":"Dtsch. Ges. Chir. Mitteilung."},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00435732"},{"key":"e_1_2_1_9_1","first-page":"441","article-title":"Me\u00dfmethoden der postoperativen Lebensqualit\u00e4t","volume":"60","author":"Schwarz R.","year":"1989","journal-title":"Chirurg"},{"key":"e_1_2_1_10_1","first-page":"29","article-title":"Measuring of life today: methodological aspects","volume":"4","author":"Cella D.F.","year":"1990","journal-title":"Oncology"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(48)90722-3"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(194811)1:4<634::AID-CNCR2820010410>3.0.CO;2-L"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(81)90058-8"},{"key":"e_1_2_1_14_1","first-page":"84","volume-title":"Das Magenkarzinom","author":"Troidl H.","year":"1984"},{"key":"e_1_2_1_15_1","first-page":"1908","article-title":"Die Beschwerdenliste als Test","volume":"21","author":"Zerssen D.","year":"1971","journal-title":"Therapiewoche"},{"key":"e_1_2_1_16_1","volume-title":"Paranoid\u2010Depressivit\u00e4tsskala\u2014Parallelformen PD\u2010S und PD\u2010S\u2032. D\u2010S und D\u2010S\u2032","author":"Zerssen D.","year":"1976"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-197905000-00004"},{"key":"e_1_2_1_18_1","first-page":"238","article-title":"Nutritional assessment and treatment of hospital malnutrition","volume":"6","author":"Blackburn G.L.","year":"1979","journal-title":"Infusionstherapie"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0954-6820.1970.tb08072.x"},{"key":"e_1_2_1_20_1","first-page":"183","article-title":"Sequential scintigraphy after total gastrectomy and gastric replacement","volume":"67","author":"Sonntag A.","year":"1981","journal-title":"Scand. J. Gastroenterol."},{"key":"e_1_2_1_21_1","first-page":"109","volume-title":"Physiologie der Verdauung","author":"Davenport H.W.","year":"1971"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1112846"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(68)90022-6"},{"key":"e_1_2_1_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-70507-6_6"},{"key":"e_1_2_1_25_1","first-page":"371","article-title":"Comparing the nutritional status total or subtotal gastrectomy","volume":"6","author":"Bozzetti F.","year":"1990","journal-title":"Nutrition"},{"key":"e_1_2_1_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-67368-9_33"},{"key":"e_1_2_1_27_1","first-page":"235","article-title":"Nutritional consequences of total gastrectomy: esophagojejunostomy vs. jejunal pouch as reconstructive procedures","volume":"4","author":"Schlag P.","year":"1988","journal-title":"Nutrition"},{"key":"e_1_2_1_28_1","first-page":"7","article-title":"Postoperative complications and mortality after surgery for gastric cancer","volume":"11","author":"Viste A.","year":"1988","journal-title":"World J. Surg."},{"key":"e_1_2_1_29_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365526709180059"},{"key":"e_1_2_1_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01656592"},{"key":"e_1_2_1_31_1","first-page":"81","article-title":"Magenersatz","volume":"49","author":"Peiper H.J.","year":"1979","journal-title":"Chirurg"},{"key":"e_1_2_1_32_1","first-page":"115","article-title":"Die \u00d6sophagojejunoplikatio\u2014eine Anastomosentechnik zur Refluxverh\u00fctung nach totaler Gastrektomie","volume":"44","author":"Siewert J.R.","year":"1973","journal-title":"Chirurg"},{"key":"e_1_2_1_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01656591"},{"key":"e_1_2_1_34_1","first-page":"1140","article-title":"Lebensqualit\u00e4t nach Gastrektomie\u2014Vergleich der Magenersatzmethoden nach Longmire und Roux","volume":"112","author":"Raab M.","year":"1987","journal-title":"Zentralbl. Chir."}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/BF00294722.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/BF00294722\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/BF00294722","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T19:45:50Z","timestamp":1703706350000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/BF00294722"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,7]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1995,7]]}},"alternative-id":["10.1007\/BF00294722"],"URL":"https:\/\/doi.org\/10.1007\/bf00294722","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,7]]}}}