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Using of Ileucecal Interposition as a Neo-stomach in Dogs with Total Gastrectomy (Presentation of a Novel Technique)
Authors:Ehsan Soltani  Ahmad Reza Mohamadnia  Faezeh Alipour  Monavar Afzal Aghaei  Samaneh Ghasemi  Ali Sadrizadeh
Affiliation:1.Department of General Surgery, Acute Care Surgery Research Center,Mashhad University of Medical Sciences, Taleghani University Hospital,Mashhad,Iran;2.Department of Clinical Sciences, Faculty of Veterinary Medicine,Ferdowsi University of Mashhad,Mashhad,Iran;3.Department of Epidemiology and Biostatistics,Mashhad University of Medical Sciences,Mashhad,Iran;4.Thoracic Surgery Department, Ghaem Hospital, Faculty of Medicine,Mashhad University of Medical Sciences,Mashhad,Iran
Abstract:Total gastrectomy and R&Y reconstruction is the standard treatment of gastric cancer except distal form one. Malnutrition is a common adverse effect of this technique, and in this study, we preset a novel technique in order to help to reduce the rate of it. We use seven dogs as participants and after total gastrectomy; we used the 10 cm of the ileum and its concomitant cecum as a neo-stomach in them. For 3 months, the dogs were evaluated in nutrition status. Three of the dogs died—one due to endocarditis and two due to internal hernia. No anastomosis leakage or stricture was seen and there were no unusual neo-stomach dilation or food stasis. This technique can help the nutrition status of total gastrectomy patients but needs more comparative human studies.
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