{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T17:03:29Z","timestamp":1758474209525},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2003,8,21]],"date-time":"2003-08-21T00:00:00Z","timestamp":1061424000000},"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":[[2003,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To establish the ideal form of the pouch for jejunal pouch interposition reconstruction (JPI) after total gastrectomy, the postoperative gastrointestinal function and symptoms were investigated in comparison with jejunal interposition reconstruction (JI). A total of 20 patients who underwent curative surgery for gastric cancer were enrolled in this study. In the JI group (<jats:italic>n<\/jats:italic> = 9), an isoperistaltic jejunum about 40\u00a0cm in length was interposed between the esophagus and the duodenum. In the JPI group (<jats:italic>n<\/jats:italic> = 11), a proximal pouch about 15\u00a0cm in length with a 10\u2010cm conduit was also interposed between the esophagus and the duodenum. At follow\u2010up 6\u00a0months postoperatively, food transit was evaluated using a radiolabeled semisolid test meal. The half\u2010emptying time was 6.9\u00a0minutes in the JI group and 46\u00a0minutes in the JPI group. The reservoir function influenced the recovery of the patients\u2019 body weight and development of the serum total protein in the early postoperative period. An early half\u2010emptying time caused dumping symptoms in JI group. In the JPI group, there were no dumping symptoms; however, extended food clearance of pouch causes postprandial symptoms such as reflux (1 patient), vomiting (2 patients), and discomfort (2 patients). In those patients with symptoms, half\u2010emptying times were longer than 60\u00a0minutes. There was a statistically significant correlation between the pouch length and the half\u2010emptying time of the gastric substitute in JPI group (<jats:italic>p<\/jats:italic> = 0.0039, r = 0.789). If we estimate that the appropriate half\u2010emptying time is 20 to 60\u00a0minutes, correlation of the pouch length and the half\u2010emptying time shows that the ideal pouch length is about 12\u201315\u00a0cm in JPI. In jejunal pouch interposition reconstruction after total gastrectomy, an adequate procedure leads to nutritional advantage and prevents postoperative symptoms.<\/jats:p>","DOI":"10.1007\/s00268-003-7030-8","type":"journal-article","created":{"date-parts":[[2003,11,19]],"date-time":"2003-11-19T20:53:30Z","timestamp":1069275210000},"page":"1113-1118","source":"Crossref","is-referenced-by-count":25,"title":["Ideal Reconstruction after Total Gastrectomy by the Interposition of a Jejunal Pouch Considered by Emptying Time"],"prefix":"10.1002","volume":"27","author":[{"given":"Chiriro","family":"Tono","sequence":"first","affiliation":[{"name":"Department of Surgery 1 Iwate Medical University 19\u20101 Uchimaru, Morioka Iwate 020\u20108505 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masanori","family":"Terashima","sequence":"additional","affiliation":[{"name":"Department of Surgery 1 Fukushima Medical University 1 Hikarigaoka Fukushima 960\u20101295 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akinori","family":"Takagane","sequence":"additional","affiliation":[{"name":"Department of Surgery 1 Iwate Medical University 19\u20101 Uchimaru, Morioka Iwate 020\u20108505 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karoru","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Surgery 1 Iwate Medical University 19\u20101 Uchimaru, Morioka Iwate 020\u20108505 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,8,21]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198908000-00005"},{"key":"e_1_2_8_3_2","first-page":"558","article-title":"Jejunal pouch with nerve preservation and interposition after total gastrectomy","volume":"45","author":"Kobayashi I","year":"1998","journal-title":"Hepatogastroenterology."},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00294722"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900011"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00295908"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/00365529850166220"},{"key":"e_1_2_8_8_2","first-page":"169","article-title":"Total gastrectomy for gastric cancer. the rationale for J\u2010pouch reservoir","volume":"43","author":"Chua CL","year":"1998","journal-title":"J. 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