Zuin Matteo, Celotto Francesco, Pucciarelli Salvatore, Urso Emanuele Damiano Luca
Dipartimento di Scienze Chirurgiche, Oncologiche e Gastroenterologiche, Clinica Chirurgica I, Azienda Ospedaliera di Padova, Università di Padova, Padova, Italy.
J Gastric Cancer. 2020 Jun;20(2):225-231. doi: 10.5230/jgc.2020.20.e16. Epub 2020 Apr 13.
Gastric cancer is a rare condition affecting patients with familial adenomatous polyposis (FAP). The mainstay of treatment is total gastrectomy. Since duodenal cancer is the most common cause of death after total colectomy in FAP, endoscopic surveillance for duodenal cancer is mandatory. Here, we describe the use of an isoperistaltic jejunal loop interposition technique to reconstruct the digestive tract after total gastrectomy in 2 patients with FAP. There were no early or late complications. Both patients are still alive and in good clinical condition. They did not experience weight loss or symptoms of dumping syndrome. Duodenal endoscopic surveillance after this technique was easier than after the classical Roux-en-Y reconstruction. Hence, regular follow-up was possible for both patients.
胃癌是一种影响家族性腺瘤性息肉病（FAP）患者的罕见病症。治疗的主要方法是全胃切除术。由于十二指肠癌是FAP患者全结肠切除术后最常见的死亡原因，因此对十二指肠癌进行内镜监测是必不可少的。在此，我们描述了在2例FAP患者行全胃切除术后使用等蠕动空肠袢插入技术重建消化道的情况。未出现早期或晚期并发症。两名患者均存活且临床状况良好。他们没有体重减轻或倾倒综合征的症状。采用该技术后的十二指肠内镜监测比经典的Roux-en-Y重建术后更容易。因此，两名患者都能够进行定期随访。
