Kieninger G, Koslowski L, Kummer D
Chirurg. 1981 Aug;52(8):505-10.
Since 1972 we have been using a new method of gastric replacement which was developed at our hospital. The reconstruction of passage is achieved by iso-anisoperistaltic interposition of two jejunal segments (30:10 cm). The reversed segment causes delayed and intermittent emptying of the above located isoperistaltic segment. Until now this type of gastric replacement has been performed in 62 patients. Postoperative mortality was 11.3%; so far the longest survival time is nearly 8 years. By the reservoir function of the jejunal interposition digestion and absorption are essentially improved, resulting in a better quality of life for the patient. This type of gastric replacement is now used as a routine in all curative gastrectomies, provided there are no contraindications on account of the patient's age or general condition.
自1972年以来，我们一直在使用我院研发的一种新型胃替代方法。通过两个空肠段（30:10 cm）的等-不等蠕动插入来实现通道重建。反转段导致上方等蠕动段排空延迟且间断。到目前为止，这种类型的胃替代已在62例患者中实施。术后死亡率为11.3%；迄今为止最长生存时间近8年。通过空肠插入的储器功能，消化和吸收得到了实质性改善，从而使患者生活质量更好。只要患者年龄或一般状况无禁忌，这种类型的胃替代现在在所有根治性胃切除术中作为常规使用。
