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Physiological aspects of restoration of food passage in the duodenum after gastrectomy for gastric cancer

[Reviews]
Sergey Viktorovich Osminin; Roman Nikolaevich Komarov; Ivanov Denis Lvovich;

The surgical method is a priority in the treatment of gastric cancer, which ranks third in terms of mortality in the structure of oncological diseases. An important role that determines the quality of life of patients after gastrectomy is played by the method of restoring the continuity of the gastrointestinal tract. Surgeons, gastroenterologists and physiologists have always paid attention to reconstructions with preservation of the passage of food through the duodenum, considering these methods to be the most physiological. According to the review, maintaining the duodenal passage leads to better functional outcomes, a reduction in dumping syndrome and reflux esophagitis, and faster weight gain after the intervention.

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Keywords: stomach cancer, gastrectomy, quality of life, ejunoduodenoplasty, jejunal interposition, postgastrectomy syndrome


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