Alternative Techniques of Gastric Replacement following Gastrectomy The best gastric replacement after gastrectomy still is a matter of debate. Among the numerous possible alternatives the main differences are type of the transplant (small/large bowel) used, configuration and size of the pouch as well as maintenance of the duodenal route. Ideally, a suitable stomach substitute should offer an optimal reservoir volume, maintain the duodenal transit, and counteract alkaline reflux. Apart from giving an overview regarding the most common types of reconstruction techniques, we present our experience with the ileocoecal segment as gastric substitute in 20 patients.

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© 2000 S. Karger GmbH, Freiburg
2000
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